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<?php include 'header_after_login.php';?>
<div class="clearfix"></div>
<!-- content start ======================================== -->
<div class="clearfix"></div>
<div class="container content">
<?php include 'membership_categorie_afterlogin.php';?>
<div class="right_block fr">
<h2 class="block_img_tit">
<img src="../images/img_list_tit_01.png" alt="" class="tit_img">
<small>會員專區 / </small>
<span class="value">修改個人資料</span>
</h2><!-- /.list_img_tit -->
<div class="clearfix mt_10p"></div>
<form name="demo_form" class="general_form" action="mb_mailed.php" method="post">
<fieldset class="step">
<div class="row">
<label><strong class="tog">* </strong>必須填寫</label>
</div>
<div class="row">
<label>會員號碼 :</label>
<input name="" type="text" value="#SY02945" disabled class="fl_1-1">
</div><!-- end row-->
<div class="row">
<label>電子郵件 :</label>
<input name="" type="text" value="demo@demo.com" disabled class="fl_1-1">
</div><!-- end row-->
<div class="row">
<label><strong class="tog">*</strong>中文姓名 :</label>
<input name="" type="text" placeholder="姓氏" value="陳" class="fl_1-2">
<input name="" type="text" placeholder="名字" value="大文" class="fl_1-2">
</div><!-- r3-->
<div class="row">
<label><strong class="tog">*</strong>英文姓名 :</label>
<input name="" type="text" placeholder="姓氏" value="CHAN" class="fl_1-2">
<input name="" type="text" placeholder="名字" value="TAI MAN" class="fl_1-2">
</div><!-- r3-->
<div class="row">
<label>性別</label>
<div class="inner_row">
<input name="" type="radio" value="" checked="checked">
<span class="clr">男</span>
<input name="" type="radio" value="">
<span class="clr">女</span>
</div>
</div><!-- r1-->
<div class="row">
<label><strong class="tog">*</strong>手機號碼 :</label>
<input name="" type="text" placeholder="您的手機號碼" value="00000000" class="fl_1-1">
</div><!-- r2-->
<div class="row">
<label><strong class="tog">*</strong>通訊地址 :</label>
<input name="" type="text" placeholder="室" value="16" class="fl_1-3">
<input name="" type="text" placeholder="樓層" value="11" class="fl_1-3">
<input name="" type="text" placeholder="座" value="" class="fl_1-3">
<div class="clearfix clearspace"></div>
<label class="clearlabel"> </label><input name="" type="text" placeholder="大廈名稱" value="華成工商中心" class="fl_1-1" style="margin-left:3px;">
<div class="clearfix clearspace"></div>
<label class="clearlabel"> </label><input name="" type="text" placeholder="屋苑/屋邨" class="fl_1-1" style="margin-left:3px;">
<div class="clearfix clearspace"></div>
<label class="clearlabel"> </label><input name="" type="text" placeholder="街號" value="11-13號" class="fl_1-2" style="margin-left:3px;">
<input name="" type="text" placeholder="街道" value="成業街" class="fl_1-2">
<div class="clearfix clearspace"></div>
<label class="clearlabel"> </label>
<div class="selector">
<nav class="select small">
<span class="selected">地區</span>
<ul class="sdd">
<li>沙田</li>
<li>馬鞍山</li>
<li>觀塘</li>
<li>九龍城</li>
</ul>
</nav>
<nav class="select small">
<span class="selected">區域</span>
<ul class="sdd">
<li>新界</li>
<li>九龍</li>
<li>香港島</li>
<li>其他</li>
</ul>
</nav>
</div>
</div><!-- r7-->
<div class="row">
<p class="form_desc">如 閣下已有子女，可填寫以下資料。</p>
<div class="clearfix mt_20p"></div>
<label>1. 子女出生日期 :</label>
<div class="selector">
<nav class="select small">
<span class="selected">年</span>
<ul class="sdd">
<li>1990</li>
<li>1989</li>
<li>1988</li>
</ul>
</nav>
<nav class="select small">
<span class="selected">月</span>
<ul class="sdd">
<li>1</li>
<li>2</li>
<li>3</li>
<li>4</li>
<li>5</li>
<li>6</li>
<li>7</li>
<li>8</li>
<li>9</li>
<li>10</li>
<li>11</li>
<li>12</li>
</ul>
</nav>
<nav class="select small">
<span class="selected">日</span>
<ul class="sdd">
<li>1</li>
<li>2</li>
<li>3</li>
<li>4</li>
<li>5</li>
<li>6</li>
<li>7</li>
<li>8</li>
<li>9</li>
<li>10</li>
<li>11</li>
<li>12</li>
<li>13</li>
<li>14</li>
<li>15</li>
<li>16</li>
<li>17</li>
<li>18</li>
<li>19</li>
<li>20</li>
<li>21</li>
<li>22</li>
<li>23</li>
<li>24</li>
<li>25</li>
<li>26</li>
<li>27</li>
<li>28</li>
<li>29</li>
<li>30</li>
<li>31</li>
</ul>
</nav>
</div>
<div class="clearfix clearspace"></div>
<label class="clearlabel"> </label>
<div class="inner_row">
<input name="" type="radio" value="" checked="checked">
<span class="clr">男</span>
<input name="" type="radio" value="">
<span class="clr">女</span>
</div>
<div class="clearfix"></div>
</div><!-- r4-->
<div class="row">
<div class="clearfix mt_10p"></div>
<label>2. 子女出生日期 :</label>
<div class="selector">
<nav class="select small">
<span class="selected">年</span>
<ul class="sdd">
<li>1990</li>
<li>1989</li>
<li>1988</li>
</ul>
</nav>
<nav class="select small">
<span class="selected">月</span>
<ul class="sdd">
<li>1</li>
<li>2</li>
<li>3</li>
</ul>
</nav>
<nav class="select small">
<span class="selected">日</span>
<ul class="sdd">
<li>1</li>
<li>2</li>
<li>3</li>
</ul>
</nav>
</div>
<div class="clearfix clearspace"></div>
<label class="clearlabel"> </label>
<div class="inner_row">
<input name="" type="radio" value="" checked="checked">
<span class="clr">男</span>
<input name="" type="radio" value="">
<span class="clr">女</span>
</div>
<div class="clearfix"></div>
</div><!-- r4-->
<div class="row">
<div class="clearfix mt_10p"></div>
<label>3. 子女出生日期 :</label>
<div class="selector">
<nav class="select small">
<span class="selected">年</span>
<ul class="sdd">
<li>1990</li>
<li>1989</li>
<li>1988</li>
</ul>
</nav>
<nav class="select small">
<span class="selected">月</span>
<ul class="sdd">
<li>1</li>
<li>2</li>
<li>3</li>
</ul>
</nav>
<nav class="select small">
<span class="selected">日</span>
<ul class="sdd">
<li>1</li>
<li>2</li>
<li>3</li>
</ul>
</nav>
</div>
<div class="clearfix clearspace"></div>
<label class="clearlabel"> </label>
<div class="inner_row">
<input name="" type="radio" value="" checked="checked">
<span class="clr">男</span>
<input name="" type="radio" value="">
<span class="clr">女</span>
</div>
<div class="clearfix"></div>
</div><!-- r4-->
<div class="row highlight">
<input name="" type="checkbox" value="">
<p class="clr">本人同意接收新雅文化事業有限公司的產品、活動及推廣優惠資訊＃。
如 閣下希望停止接收我們的訊息，可隨時登入會員帳戶修改接收選項。
為保障會員權益，本公司依然會向 閣下發送會籍訊息，包括但不限於會員計劃資料、積分紀錄等通知。
</p>
</div><!-- r17-->
<div class="row tc">
<input value="確定修改" type="submit" name="submit" class="btn btn_org">
</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會員個人資料在任何時間均嚴格保密。以上資料只限於提供本公司的產品、服務及優惠資料(包括：圖書推介、教育和相關產品推介、文化活動資訊、折扣及優惠訊息、問卷調查等) 予會員。本公司不會將會員個人資料售予、借給及租賃予本公司以外之公司。
</p>
</fieldset><!-- ends =========== -->
</form><!-- /.general_form -->
<div class="clearfix dashed"></div>
</div><!-- //.right_block// ends -->
<div class="clearfix"></div>
</div><!-- //.container.content ends -->
<div class="clearfix"></div>
<!-- content end ======================================== -->
<div class="clearfix"></div>
<?php include 'footer.php';?>
<!-- some support ======================================== -->
<script type="text/javascript">
$(document).ready(function() {
/*reset NAV PRIMARY current item ======== */
$('#nav_primary .lv01 > li:nth-child(5)').addClass('current');
$('#nav_primary .lv01 > li:nth-child(5) .lv02 > li:nth-child(1)').addClass('current');
});
</script>
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