document.writeln('<form name=\"myform\" class=\"layui-form layui-form-pane\" 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=\"10\" name=\"id\"/>')
document.writeln('<input type=\"hidden\" value=\"1\" name=\"m\"/>')
document.writeln('<input type=\"hidden\" value=\"3477\" name=\"d\"/>')
document.writeln('<input type=\"hidden\" value=\"{$ToUserName}\" id=\"tousername\" name=\"tousername\"/>')
document.writeln('<div class=\"layui-form-item\">')
document.writeln('    <label class=\"layui-form-label\">姓名*</label>')
document.writeln('    <div class=\"layui-input-block\">')
document.writeln('        <input type=\"text\" id=\"KS_name\" name=\"KS_name\" required  lay-verify=\"required\" placeholder=\"请输入姓名\" autocomplete=\"off\" ')
document.writeln('class=\"layui-input\">')
document.writeln('    </div>')
document.writeln('</div>')
document.writeln('<div class=\"layui-form-item\">')
document.writeln('    <label class=\"layui-form-label\">电话*</label>')
document.writeln('    <div class=\"layui-input-block\">')
document.writeln('        <input type=\"text\" id=\"KS_tel\" name=\"KS_tel\" required  lay-verify=\"required\" placeholder=\"请输入电话\" autocomplete=\"off\" ')
document.writeln('class=\"layui-input\">')
document.writeln('    </div>')
document.writeln('</div>')
document.writeln('<div class=\"layui-form-item\">')
document.writeln('    <label class=\"layui-form-label\">留言*</label>')
document.writeln('    <div class=\"layui-input-block\">')
document.writeln('        <textarea id=\"KS_message\" name=\"KS_message\" placeholder=\"请输入收件地址，所属单位，以及产品备注！！！，\" class=\"layui-textarea\">')
document.writeln('</textarea>')
document.writeln('    </div>')
document.writeln('</div>')
document.writeln('<div class=\"layui-form-item\">')
document.writeln('   <div class=\"layui-inline\">')
document.writeln('    <label class=\"layui-form-label\">验证码*</label>')
document.writeln('    <div class=\"layui-input-block relative\">')
document.writeln('        <input type=\"text\" name=\"Verifycode\" required  lay-verify=\"required\" placeholder=\"请输入右图中的字符\" autocomplete=\"off\" ')
document.writeln('class=\"layui-input\">')
document.writeln('        <div class=\"inputright\"><img src=\"/plus/verifycode.asp\" width=\"80\" height=\"30\" onclick=\"this.src=\'/plus/verifycode.asp?n=\'+ ')
document.writeln('Math.random();\"></div>')
document.writeln('    </div>')
document.writeln('   </div>')
document.writeln('<div class=\"layui-inline\">')
document.writeln('<button class=\"layui-btn layui-btn-radius layui-btn-danger btn\" lay-submit=\"\" lay-filter=\"formMessage\">确认提交</button>')
document.writeln('</div>')
document.writeln('')
document.writeln('</div>')
document.writeln('')
document.writeln('</form>    ')
document.writeln('<div class=\"tel\">全国服务热线：400-600-1664 </div> ')
document.writeln('')