apply.html
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<div id="myModal" class="modal fade" aria-hidden="true">
<div class="modal-dialog">
<div class="modal-content">
<div class="modal-header">
<h4>文化之旅报名表</h4>
</div>
<div class="modal-body">
<form action="" method="post" id="train">
<input type="hidden" name="tid" value=""/>
<div class="row">
<div class="row-title">
<h5>个人信息</h5>
</div>
<div class="row-con cf">
<div class="ipt-container lf">
<input type="text" name="name" placeholder="培训人姓名">
</div>
<div class="slt-list lf" id="city">
<div class="slt-container lf">
<select name="province" class="mm-select prov">
<option value="天津">省</option>
</select>
</div>
<div class="slt-container lf">
<select name="city" class="mm-select city"><option value="天津">市</option></select>
</div>
</div>
<div class="ipt-container lf">
<input id="d11" type="text" placeholder="出生年月" name="birth" onClick="WdatePicker({skin:'twoer'})"/>
</div>
<div class="ipt-container lf">
<input type="text" name="mobile" placeholder="手机号">
</div>
<div class="radio-container lf">
<label>性别:</label>
<input type="radio" name="sex" value="1" checked>男
<input type="radio" name="sex" value="2">女
</div>
<div class="ipt-container lf">
<input type="text" name="email" placeholder="邮箱">
</div>
</div>
</div>
<div class="row">
<div class="row-title">
<h5>个人兴趣</h5>
</div>
<div class="row-con">
<div class="textarea-container">
<textarea name="lesson" maxlength="500" placeholder="个人感兴趣的文化之旅目的地简要描述"></textarea>
</div>
<div class="textarea-container">
<textarea name="experience" maxlength="500" placeholder="个人感兴趣的文化项目简要描述"></textarea>
</div>
<div class="textarea-container">
<textarea name="travel" maxlength="500" placeholder="个人感兴趣的旅行方式简要描述"></textarea>
</div>
</div>
</div>
<div class="row">
<div class="sub-container">
<input type="button" name="submit" value="确认提交">
</div>
</div>
</form>
</div>
</div>
</div>
</div>