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/tgblbj_1.jpg); \"><div style=\"height:200px;\"> </div><form method=\"post\" action=\"?m=formguide&c=index&a=show&formid=15\" name=\"myform\" id=\"myform\"><table class=\"table_form\" width=\"100%\" cellspacing=\"0\"><tbody> <tr>  <th width=\"150\"> <font color=\"red\">*</font> 托管委托人名称  </th>  <td><input type=\"text\" name=\"info[jigoufaren]\" id=\"jigoufaren\" size=\"25\" value=\"\"  class=\"input-text\"  >  </td></tr><tr>  <th width=\"150\"> <font color=\"red\">*</font> 被托管机构名称  </th>  <td><input type=\"text\" name=\"info[jigou]\" id=\"jigou\" size=\"25\" value=\"\"  class=\"input-text\"  >  </td></tr><tr>  <th width=\"150\"> 托管事项内容  </th>  <td><textarea name=\'info[shixiangneirong]\' id=\'shixiangneirong\' style=\'width:70%;height:46px;\'   ></textarea>  </td></tr><tr>  <th width=\"150\"> 托管基本要求  </th>  <td><textarea name=\'info[tuoguanyaoqiu]\' id=\'tuoguanyaoqiu\' style=\'width:70%;height:46px;\'   ></textarea>  </td></tr><tr>  <th width=\"150\"> <font color=\"red\">*</font> 托管经营期限  </th>  <td><select name=\'info[time]\' id=\'time\'><option value=\"请选择\" selected>请选择</option><option value=\"二年\" >二年</option><option value=\"三年\" >三年</option><option value=\"四年\" >四年</option><option value=\"五年\" >五年</option><option value=\"五年以上\" >五年以上</option></select>  </td></tr><tr>  <th width=\"150\"> <font color=\"red\">*</font> 委托人联系人  </th>  <td><input type=\"text\" name=\"info[name]\" id=\"name\" size=\"25\" value=\"\"  class=\"input-text\"  >  </td></tr><tr>  <th width=\"150\"> <font color=\"red\">*</font> 联系电话  </th>  <td><input type=\"text\" name=\"info[dianhua]\" id=\"dianhua\" size=\"20\" value=\"\"  class=\"input-text\"  >  </td></tr><tr>  <th width=\"150\"> 邮箱  </th>  <td><input type=\"text\" name=\"info[email]\" id=\"email\" size=\"20\" value=\"\"  class=\"input-text\"  >  </td></tr><tr>  <th width=\"150\"> 通信地址  </th>  <td><input type=\"text\" name=\"info[lianxidizhi]\" id=\"lianxidizhi\" size=\"40\" value=\"\"  class=\"input-text\"  >  </td></tr><tr>  <th width=\"150\"> 其他事项说明  </th>  <td><textarea name=\'info[shixiangshuoming]\' id=\'shixiangshuoming\' style=\'width:70%;height:46px;\'   ></textarea>  </td></tr><tr>  <th width=\"150\"> 备注  </th>  <td><textarea name=\'info[beizhu]\' id=\'beizhu\' style=\'width:70%;height:46px;\'   ></textarea>  </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>");