<META HTTP-EQUIV="Content-Type" CONTENT="text/html;CHARSET=BIG5">
<META NAME="WinPerTurn" CONTENT="Produced by Doc-2-Doc product, http://www.WinPerTurn.com">
<script src=include/form.js></script>
<form name="form1" method="post" action="{$form.action}" onsubmit="return nonBlank(uname,'請輸入姓名') && nonBlank(utel,'請輸入電話') && goodInt(uposition,'請輸入定購數量')  ">
<input name=aid value="{$form.aid}" type="hidden">
<input name=cid value="{$form.cid}" type="hidden">
<input name=form value="{$form.form}" type="hidden">
  <table width="96%"  border="0" align="center" cellpadding="0" cellspacing="0">
      <tr>
      <td colspan=4 align=center class=title height=30 valign=middle>如果你想定購<b>{$form.atitle}</b>,請填寫以下的{$form.title}</b></td>
    </tr>
    <tr>
      <td>姓名*﹕</td>
      <td><input type="text" name="uname" value="{$form.uname}"></td>
      <td>電話*﹕</td>
      <td><input type="text" name="utel" value="{$form.utel}"></td>
    </tr>
    <tr>
      <td>產品型號﹕</td>
      <td><input type="text" name="ucompany" value="{$form.ucompany}"></td>
      <td>定購數量*:</td>
      <td><input type="text" name="uposition" value="{$form.uposition}" size=3>單位</td>
    </tr>
    <tr>
      <td>其他要求:</td>
      <td colspan="3"><textarea name="content" cols="50" rows="5">{$form.content}</textarea></td>
    </tr>
    <tr>
      <td colspan="4"><div align="center">
  <input type="submit" name="Submit" value="提    交">
&nbsp;&nbsp;&nbsp;&nbsp;
  <input type="reset" name="Submit" value="重    置">
      </div></td>
    </tr>
  </table>
</form>
