document.writeln('<script src=\"/ks_inc/lhgdialog.js\"></script>')
document.writeln('<script src=\"/ks_inc/form_ck.js\"></script>')
document.writeln('<table width=\"100%\" border=\"0\" align=\"center\" cellpadding=\"1\" cellspacing=\"2\">')
document.writeln('<form name=\"myform\" action=\"/plus/form.asp\" onSubmit=\"return(form_c());\"  method=\"post\"> ')
document.writeln('<input type=\"hidden\" value=\"Save\" name=\"action\"/>')
document.writeln('<input type=\"hidden\" value=\"1\" name=\"id\"/>')
document.writeln('<input type=\"hidden\" value=\"0\" name=\"m\"/>')
document.writeln('<input type=\"hidden\" value=\"0\" name=\"d\"/>')
document.writeln('<input type=\"hidden\" value=\"{$ToUserName}\" id=\"tousername\" name=\"tousername\"/>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">类别：</td>')
document.writeln('  <td align=\"left\"><input type=\"radio\" id=\"KS_Class\" name=\"KS_Class\" value=\"投诉\">投诉<input type=\"radio\" id=\"KS_Class\" name=\"KS_Class\" value=\"建议\">建议  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">联系人：</td>')
document.writeln('  <td align=\"left\"><input type=\"text\" maxlength=\"255\" class=\"upfile\" style=\"width:200px\" id=\"KS_Name\" name=\"KS_Name\" value=\"\">  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">电话：</td>')
document.writeln('  <td align=\"left\"><input type=\"text\" maxlength=\"255\" class=\"upfile\" style=\"width:200px\" id=\"KS_Tel\" name=\"KS_Tel\" value=\"\">  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">邮箱：</td>')
document.writeln('  <td align=\"left\"><input type=\"text\" maxlength=\"255\" class=\"upfile\" style=\"width:200px\" id=\"KS_Mail\" name=\"KS_Mail\" value=\"\">  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">投诉内容：</td>')
document.writeln('  <td align=\"left\"><textarea style=\"width:280px;height:100px\" rows=\"5\" id=\"KS_Content\" name=\"KS_Content\"></textarea>  </td>')
document.writeln('</tr>')
document.writeln('<tr class=\"tdbg\"><td class=\"lefttdbg\" align=\"right\">验证码：</td><td align=\"left\"><input name=\"Verifycode\" type=\"text\" name=\"textbox\" size=5><span style=\"color:#999\">请输入下图中的字符</span><br/><IMG src=\"/plus/verifycode.asp\" width=\"110\" height=\"35\" align=\"absmiddle\" style=\"cursor:pointer\" onClick=\"this.src=\'/plus/verifycode.asp?n=\'+ Math.random();\"></td>')
document.writeln('</tr>')
document.writeln('<tr><td colspan=\"2\" class=\"subtdbg\" align=\"center\"><input type=\"submit\" value=\"确认提交\" name=\"submit1\"></td></tr>')
document.writeln('</form>')
document.writeln('</table>')
document.writeln('')