document.writeln('<table width=\"100%\" border=\"0\" cellspacing=\"2\" cellpadding=\"1\">')
document.writeln('<form name=\"myform\" action=\"/plus/form.asp\" method=\"post\"> ')
document.writeln('<input type=\"hidden\" value=\"Save\" name=\"action\">')
document.writeln('<input type=\"hidden\" value=\"3\" name=\"id\">')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td width=\"21%\" align=\"right\" class=\"lefttdbg\">套餐类别：</td>')
document.writeln('  <td width=\"79%\"><select class=\"upfile\" style=\"width:260px\" name=\"KS_class\"><option value=\"★ 呀诺达')
document.writeln('')
document.writeln('雨林·香巴拉套餐（一） ￥148\">★ 呀诺达雨林·香巴拉套餐（一） ￥148</option><option value=\"★ 呀诺达')
document.writeln('')
document.writeln('雨林·香巴拉套餐（二） ￥188\">★ 呀诺达雨林·香巴拉套餐（二） ￥188</option><option value=\"★ 呀诺达')
document.writeln('')
document.writeln('雨林·踏瀑戏水拓展套餐（三）￥198\">★ 呀诺达雨林·踏瀑戏水拓展套餐（三）￥198</option><option value=\"')
document.writeln('')
document.writeln('★ 呀诺达雨林·踏瀑戏水拓展套餐（四）￥228\">★ 呀诺达雨林·踏瀑戏水拓展套餐（四）')
document.writeln('')
document.writeln('￥228</option><option value=\"★ 拓展露营烧烤套餐 成人￥298元  儿童￥158\" selected>★ 拓展露营烧烤套餐 ')
document.writeln('')
document.writeln('成人￥298元  儿童￥158</option></select><font color=\"red\"> * </font> <span style=\"margin-top:5px\">请')
document.writeln('')
document.writeln('选择您要预订的套餐类别</span>  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">人数：</td>')
document.writeln('  <td><input type=\"text\" class=\"upfile\" style=\"width:100px\" name=\"KS_Renshu\" value=\"\"><font ')
document.writeln('')
document.writeln('color=\"red\"> * </font> <span style=\"margin-top:5px\">请输入人数</span>  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">乘车地点：</td>')
document.writeln('  <td><select class=\"upfile\" style=\"width:100px\" name=\"KS_Didian\"><option value=\"三亚明珠广场\" ')
document.writeln('')
document.writeln('selected>三亚明珠广场</option><option value=\"大东海区域\">大东海区域</option><option value=\"三亚湾区域')
document.writeln('')
document.writeln('\">三亚湾区域</option><option value=\"亚龙湾区域\">亚龙湾区域</option><option value=\"海口宾馆\">海口宾馆</option><option value=\"自驾车\">自驾车')
document.writeln('')
document.writeln('</option> </select><font color=\"red\"> * </font> <span style=\"margin-top:5px\">请选择您的乘车地点')
document.writeln('')
document.writeln('</span>  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">出发时间：</td>')
document.writeln('  <td><input type=\"text\" class=\"upfile\" style=\"width:100px\" name=\"KS_chufa\" value=\"\" id=date1><font ')
document.writeln('')
document.writeln('color=\"red\"> * </font> <span style=\"margin-top:5px\">请选择您前来呀诺达的时间</span>  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">您的其他要求：</td>')
document.writeln('  <td><input type=\"text\" class=\"upfile\" style=\"width:300px;height=100\" name=\"KS_qita\" value=\"\"> <span ')
document.writeln('')
document.writeln('style=\"margin-top:5px\">请输入您的其他要求</span>  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">您的姓名：</td>')
document.writeln('  <td><input type=\"text\" class=\"upfile\" style=\"width:100px\" name=\"KS_name\" value=\"\"><font ')
document.writeln('')
document.writeln('color=\"red\"> * </font> <span style=\"margin-top:5px\">请输入您的真实姓名</span>  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">您的联系方式：</td>')
document.writeln('  <td><input type=\"text\" class=\"upfile\" style=\"width:100px\" name=\"KS_call\" value=\"13\"><font ')
document.writeln('')
document.writeln('color=\"red\"> * </font> <span style=\"margin-top:5px\">请输入您在海南的即时联系方式</span>  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">居住地：</td>')
document.writeln('  <td>')
document.writeln('<SELECT ')
document.writeln('name=KS_sheng></SELECT><SELECT name=KS_shi></SELECT><SELECT ')
document.writeln('name=KS_xian></SELECT> ')
document.writeln('<font color=\"red\">* </font> <span style=\"margin-top:5px\">请输入您现在的居住地</span><BR>')
document.writeln('<SCRIPT language=javascript defer>')
document.writeln('new PCAS(\"KS_sheng\",\"KS_shi\",\"KS_xian\",\"\",\"\",\"\");')
document.writeln('</SCRIPT>  </td>')
document.writeln('</tr>')
document.writeln('<tr class=\"tdbg\"><td class=\"lefttdbg\" align=\"right\">验证码：</td><td width=\"1001\"><input ')
document.writeln('')
document.writeln('name=\"Verifycode\" type=\"text\" name=\"textbox\" size=5><IMG style=\"cursor:hand\" ')
document.writeln('')
document.writeln('src=\"/KS_Inc/verifycode.asp\" onClick=\"this.src=\'/ks_inc/verifycode.asp?n=\'+ Math.random();\" ')
document.writeln('')
document.writeln('align=\"absmiddle\"></td></tr>')
document.writeln('<tr><td class=\"subtdbg\" align=\"center\" >&nbsp;</td>')
document.writeln('  <td class=\"subtdbg\" align=\"center\" ><input type=\"submit\" value=\"确认提交\" name=\"submit1\"></td>')
document.writeln('</tr>')
document.writeln('</form>')
document.writeln('</table>')