document.write("<script language=\"javascript\" type=\"text/javascript\" src=\"http://www.jiangchuanbanking.com/cms/statics/js/dialog.js\"></script><link href=\"http://www.jiangchuanbanking.com/cms/statics/css/table_form.css\" rel=\"stylesheet\" type=\"text/css\" /><link href=\"http://www.jiangchuanbanking.com/cms/statics/css/dialog.css\" rel=\"stylesheet\" type=\"text/css\" /><div style=\"width:755px;  height:763px;background-image: url(http://www.jiangchuanbanking.com/cms/statics/images/v9/fangdaibj.jpg); \"><div style=\"height:200px;\"> </div><form method=\"post\" action=\"?m=formguide&c=index&a=show&formid=12\" name=\"myform\" id=\"myform\"><table class=\"table_form\" width=\"100%\" cellspacing=\"0\"><tbody> <tr>  <th width=\"150\"> <font color=\"red\">*</font> 放贷人姓名  </th>  <td><input type=\"text\" name=\"info[name]\" id=\"name\" size=\"20\" value=\"\"  class=\"input-text\"  >  <font color=\"#FF0000\">*请输入您的姓名</font></td></tr><tr>  <th width=\"150\"> <font color=\"red\">*</font> 放贷人地区  </th>  <td><input type=\"text\" name=\"info[diqu]\" id=\"diqu\" size=\"20\" value=\"\"  class=\"input-text\"  >  <font color=\"#FF0000\">*请填写您所在的城市，如：北京</font></td></tr><tr>  <th width=\"150\"> <font color=\"red\">*</font> 放贷数额  </th>  <td><input type=\"text\" name=\"info[shue]\" id=\"shue\" size=\"15\" value=\"\"  class=\"input-text\"  >  万元</td></tr><tr>  <th width=\"150\"> <font color=\"red\">*</font> 放贷期限  </th>  <td><select name=\'info[fangdaiqixian]\' id=\'fangdaiqixian\'><option value=\"请选择\" >请选择</option><option value=\"3个月\" >3个月</option><option value=\"6个月\" >6个月</option><option value=\"12个月\" >12个月</option><option value=\"18个月\" >18个月</option><option value=\"24个月\" >24个月</option></select>  </td></tr><tr>  <th width=\"150\"> <font color=\"red\">*</font> 放贷利率  </th>  <td><input type=\"text\" name=\"info[fangdaililv]\" id=\"fangdaililv\" size=\"4\" value=\"\"  class=\"input-text\"  >   （%月利率）</td></tr><tr>  <th width=\"150\"> <font color=\"red\">*</font> 还款方式  </th>  <td><select name=\'info[huankuanfangshi]\' id=\'huankuanfangshi\'><option value=\"请选择\" >请选择</option><option value=\"等额本息\" >等额本息</option><option value=\"每月付息到期还本\" >每月付息到期还本</option><option value=\"其他\" >其他</option></select>  </td></tr><tr>  <th width=\"150\"> <font color=\"red\">*</font> 放贷时间  </th>  <td><link rel=\"stylesheet\" type=\"text/css\" href=\"http://www.jiangchuanbanking.com/cms/statics/js/calendar/jscal2.css\"/><link rel=\"stylesheet\" type=\"text/css\" href=\"http://www.jiangchuanbanking.com/cms/statics/js/calendar/border-radius.css\"/><link rel=\"stylesheet\" type=\"text/css\" href=\"http://www.jiangchuanbanking.com/cms/statics/js/calendar/win2k.css\"/><script type=\"text/javascript\" src=\"http://www.jiangchuanbanking.com/cms/statics/js/calendar/calendar.js\"></script><script type=\"text/javascript\" src=\"http://www.jiangchuanbanking.com/cms/statics/js/calendar/lang/en.js\"></script><input type=\"text\" name=\"info[fangdaishijian]\" id=\"fangdaishijian\" value=\"\" size=\"10\" class=\"date\" readonly>&nbsp;<script type=\"text/javascript\">$(function(){ Calendar.setup({ weekNumbers: true,    inputField : \"fangdaishijian\",    trigger    : \"fangdaishijian\",    dateFormat: \"%Y-%m-%d\",    showTime: false,    minuteStep: 1,    onSelect   : function() {this.hide();} }); });        </script>  </td></tr><tr>  <th width=\"150\"> <font color=\"red\">*</font> 放贷类型  </th>  <td><select name=\'info[faidaileixing]\' id=\'faidaileixing\'><option value=\"请选择\" >请选择</option><option value=\"信用类\" >信用类</option><option value=\"担保类\" >担保类</option><option value=\"其他类\" >其他类</option></select>  </td></tr><tr>  <th width=\"150\"> 放贷人其他要求  </th>  <td><textarea name=\'info[qitayaoqiu]\' id=\'qitayaoqiu\' style=\'width:70%;height:46px;\'   ></textarea>  </td></tr><tr>  <th width=\"150\"> <font color=\"red\">*</font> 放贷人联系方式  </th>  <td><input type=\"text\" name=\"info[fangdairendianhua]\" id=\"fangdairendianhua\" size=\"25\" value=\"\"  class=\"input-text\"  >  <font color=\"#FF0000\">*请输入您的手机号码</font></td></tr><tr>  <th width=\"150\"> 放贷人邮箱  </th>  <td><input type=\"text\" name=\"info[email]\" id=\"email\" size=\"25\" value=\"\"  class=\"input-text\"  >  </td></tr><tr>  <th width=\"150\"> 通信地址  </th>  <td><input type=\"text\" name=\"info[tongxundizhi]\" id=\"tongxundizhi\" size=\"75\" value=\"\"  class=\"input-text\"  >  </td></tr></tbody></table><div style=\"padding-left:180px; margin-top:15px;\"><input type=\"submit\" name=\"dosubmit\" id=\"dosubmit\" value=\"提交申请\" style=\"border:0px;background-image: url(http://www.jiangchuanbanking.com/cms/statics/images/v9/b1.png); width:103px; height:33px; color:#FFFFFF;\"><span style=\"padding-left:100px;\"><input type=\"reset\" value=\"重填内容\" style=\"border:0px;background-image: url(http://www.jiangchuanbanking.com/cms/statics/images/v9/b1.png); width:103px; height:33px; color:#FFFFFF;\"></span></div></form></div>");