/var/www/hkosl.com/sunya/tc/event_register.php


1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116





    <h5 class="form_tit">活動報名表格 - <span class="name">《愛伴我高飛》同學聚會</span></h5>

    <div class="clearfix dashed"></div>

    <form name="demo_form" class="general_form" onsubmit="return validateForm()" method="post">
        <fieldset class="step">           

            <div class="row">  
                <label><strong class="tog">* #</strong>稱謂</label> 
                <div class="inner_row">                                    
                    <input name="" type="radio" value="" checked="checked">
                    <span class="clr">先生</span>  
                    <input name="" type="radio" value="">
                    <span class="clr">小姐</span>
                </div>
            </div><!-- r1--> 


            <div class="row">
                <label><strong class="tog">*</strong>姓名 :</label>
                <input name="" type="text" value="姓" onclick="this.value='';" class="fl_1-2">
                <input name="" type="text" value="名" onclick="this.value='';" class="fl_1-2">
            </div><!-- r2--> 


            <div class="row">
                <label><strong class="tog">*</strong>聯絡電話 :</label>
                <input name="" type="text" value="" class="fl_1-1">
            </div><!-- r3--> 


            <div class="row">
                <label><strong class="tog">*</strong>電子郵件 :</label>
                <input name="df_email" type="text" value="" class="fl_1-1">
            </div><!-- r4--> 


            <div class="row">
                <label><strong class="tog">*</strong>參加人數 :</label>

                <div class="selector">
                    <nav class="select small">
                        <span class="selected">請選擇</span>
                        <ul class="sdd"> 
                            <li>1</li>
                            <li>2</li>
                            <li>3</li>
                        </ul>
                    </nav>
                    <span class="unit">位成人</span>

                    <nav class="select small">
                        <span class="selected">請選擇</span>
                        <ul class="sdd"> 
                            <li>1</li>
                            <li>2</li>
                            <li>3</li>
                        </ul>
                    </nav>
                    <span class="unit">位小童</span>
                </div>


                <div class="clearfix"></div>
            </div><!-- r5-->


            <div class="row">
                <label><strong class="tog">*</strong>驗證碼 :</label>
                <input name="" type="text" value="" class="fl_1-3">
            </div><!-- r12--> 


            <div class="row highlight tc">  
                <input name="" type="checkbox" value="">
                <p class="clr">我同意接收由新雅文化事業有限公司產品及推廣優惠資訊。</p> 
            </div><!-- r17--> 


            <div class="row tc">                
                <input value="報名" type="submit" name="submit" class="btn btn_org"  onclick="democheck()">
            </div>

        </fieldset><!-- ends =========== -->

        <div class="clearfix dashed"></div>


        <fieldset class="step">
            <p class="mt_20p">
                <strong class="tog">*</strong> 新雅文化事業有限公司對讀者個人資料在任何時間均嚴格保密。以上資料只限用作提供合適的產品及服務資訊 (包括:文化資訊、圖書及文具
<strong class="tog">*</strong> 產品推介、折扣及優惠訊息、問卷調查、活動邀請等)予讀者。本館不會將讀者個人資料售予、借給及租賃予本集團以外之公司。
            </p>
        </fieldset><!-- ends =========== -->



    </form><!-- /.general_form --> 



<div class="clearfix"></div>



<script language="javascript">
    function democheck(){
        $("#mm_overly .pp_form .form_content").html('<h2 class="tc tog mt_20p mb_20p">感謝你的支持!<br><br>閣下已經成功報名</h2>');
    }
</script>