document.write("<script type='text/javascript' src='http://www.eucms.cn/eu_INC/js/time/WdatePicker.js'></script>");
document.write("<script type='text/javascript' src='http://www.eucms.cn/eu_INC/js/lhgcore/lhgcore.min.js'></script>");
document.write("<script type='text/javascript' src='http://www.eucms.cn/eu_INC/js/lhgcore/lhgdialog.min.js'></script>");
document.write("<script type='text/javascript' src='http://www.eucms.cn/eu_INC/main.js'></script>");
document.write("<script type='text/javascript' src='http://www.eucms.cn/eu_INC/js/swfobject.js'></script>");
document.write("<script type='text/javascript' src='http://www.eucms.cn/eu_INC/js/zi.js'></script>");
document.write("<script type='text/javascript' src='http://www.eucms.cn/editor/kindeditor/kindeditor.js' charset='utf-8'></script>");
document.write("<script type='text/javascript' src='http://www.eucms.cn/editor/kindeditor/lang/zh_CN.js' charset='utf-8'></script>");
document.write("<table width='100%' border='0' align='center' cellpadding='2' cellspacing='1'>");
document.write("<form name='myform' action='http://www.eucms.cn/plus/Form/?A=Save&ModeID=4' method='post'> ");
document.write("<tr><td  width='22%' height='25' line-height='25'  align='right'>姓名：</td><td align='left'><font color='#888888'><input class='Ainput' style='width:40%' type='text' title='' name='name_eu' size='40' value=''>  <font color=red title='必填'>*</font>  </font></td></tr>");
document.write("<tr><td  width='22%' height='25' line-height='25'  align='right'>电话：</td><td align='left'><font color='#888888'><input class='Ainput' style='width:40%' type='text' title='' name='tel_eu' size='40' value=''>  <font color=red title='必填'>*</font>  </font></td></tr>");
document.write("<tr><td  width='22%' height='25' line-height='25'  align='right'>加盟级别：</td><td align='left'><font color='#888888'><label for='jibie_eu0'> <input  id='jibie_eu0' type='radio'  name='jibie_eu' value='1'  />金牌代理（2880元）&nbsp;&nbsp;</label><label for='jibie_eu1'> <input  id='jibie_eu1' type='radio'  name='jibie_eu' value='1'  />钻石代理（5880元）&nbsp;&nbsp;</label>  <font color=red title='必填'>*</font>  </font></td></tr>");
document.write("<tr><td  width='22%' height='25' line-height='25'  align='right'>电子邮箱：</td><td align='left'><font color='#888888'><input class='Ainput' style='width:40%' type='text' title='' name='mail_eu' size='40' value=''>  </font></td></tr>");

document.write("<tr><td width='22%' align='right' height='25' line-height='25'>验证码：</td><td align='left'>");
document.write("<div class='coder'><input type='text' size='10'  maxlength='4' name='Code'> <img style='cursor:pointer' src='/code.html' onClick=src='/code.html?'+Math.random(); alt='看不清楚? 换一张！'/></div>");
document.write("</td></tr>");
document.write("<tr><td></td> <td align='left'>");
document.write("<input class='eu_btn' type=submit   name=Submit1 value='  提 交  ' />&nbsp;");
document.write("<input type='reset' class='eu_btn' name='Submit2' value='  返 回  ' onClick='javascript:history.back()'></td></tr></form></table>");