50 lines
2.4 KiB
HTML
Executable File
50 lines
2.4 KiB
HTML
Executable File
<!-- 添加 -->
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<script id="tpl-add" type="text/template">
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<div class="am-padding-xs am-padding-top-sm">
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<div class="am-form-group">
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<label class="am-u-sm-3 am-u-lg-2 am-form-label form-require">代理级别 </label>
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<div class="am-u-sm-9 am-u-end">
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<label class="am-radio-inline">
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<input type="radio" name="data[agent_mode]" value="10" data-am-ucheck checked>
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区县
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</label>
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<label class="am-radio-inline">
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<input type="radio" name="data[agent_mode]" value="20" data-am-ucheck>
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市级
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</label>
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<label class="am-radio-inline">
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<input type="radio" name="data[agent_mode]" value="30" data-am-ucheck>
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省级
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</label>
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</div>
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</div>
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<div class="am-form-group am-padding-top">
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<label class="am-u-sm-3 am-u-lg-2 am-form-label form-require"> 联系人 </label>
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<div class="am-u-sm-9 am-u-end">
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<input type="text" class="tpl-form-input" name="data[details][id_card_name]"
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placeholder="请输入联系人" required>
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</div>
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</div>
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<div class="am-form-group">
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<label class="am-u-sm-3 am-u-lg-2 am-form-label form-require"> 联系电话 </label>
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<div class="am-u-sm-9 am-u-end">
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<input type="text" class="tpl-form-input" name="data[details][mobile_phone]"
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placeholder="请输入联系电话" required>
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</div>
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</div>
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<div class="am-form-group">
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<label class="am-u-sm-3 am-u-lg-2 am-form-label form-require"> 区域坐标 </label>
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<div class="am-u-sm-9 am-u-end">
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<div class="am-block">
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<input type="text" style="background: none !important;" id="coordinate"
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class="tpl-form-input" name="data[location]"
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placeholder="请选择区域位置" readonly="" required>
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</div>
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<div class="am-block am-padding-top-xs">
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<iframe id="map" src="/index/proxy/getpoint" width="550" height="470"></iframe>
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</div>
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</div>
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</div>
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</div>
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</script>
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