zhengwei
/
buying


			
				
					
						
						
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							<%@ page language="java" contentType="text/html; charset=UTF-8" pageEncoding="UTF-8"%>
<%@ include file="../common/meta.jsp"%>
<link rel="stylesheet"
	href="${base}/static/web/frame/webuploader/webuploader.css"
	type="text/css">
<script type="text/javascript"
	src="${base}/static/web/frame/webuploader/webuploader.min.js"></script>
<title>反馈信息</title>
</head>
<body>
<div class="layui-container foot-mb">
	<form class="layui-form layui-form-horizontal" action id="form-add">
		<div class="layui-form-item layui-row">
			<label class="layui-form-label layui-col-xs3 layui-col-sm2"><span
				class="c-red">*</span>反馈人昵称</label>
			<div class="layui-input-block layui-col-xs8 layui-col-sm9">
				<input type="text" id="nickname" name="nickname"
					lay-verify="required" autocomplete="off" placeholder="请输入会员昵称"
					class="layui-input">
			</div>
		</div>
		<div class="layui-form-item layui-row">
			<label class="layui-form-label layui-col-xs3 layui-col-sm2"><span
				class="c-red">*</span>反馈人姓名</label>
			<div class="layui-input-block layui-col-xs8 layui-col-sm9">
				<input type="text" id="username" name="username"
					lay-verify="required" autocomplete="off" placeholder="请输入会员姓名"
					class="layui-input">
			</div>
		</div>
		<div class="layui-form-item layui-row">
			<label class="layui-form-label layui-col-xs3 layui-col-sm2"><span
				class="c-red">*</span>手机号码</label>
			<div class="layui-input-block layui-col-xs8 layui-col-sm9">
				<input type="text" id="mobile" name="mobile"
					autocomplete="off" placeholder="请输入手机号码"
					class="layui-input">
			</div>
		</div>
		<div class="layui-form-item layui-row">
			<label class="layui-form-label layui-col-xs3 layui-col-sm2"><span
				class="c-red">*</span>反馈内容</label>
			<div class="layui-input-block layui-col-xs8 layui-col-sm9">
				<textarea id="content" name="content"placeholder="请输入内容" class="layui-textarea"></textarea>
			</div>
		</div>
		<div class="layui-form-item">
			<label class="layui-form-label layui-col-xs3 layui-col-sm2"><span
				class="c-red">*</span>反馈图片</label>
			<div class="layui-input-block layui-col-xs8 layui-col-sm9">
				<div id="list" class="uploader-list"></div>
			</div>
		</div>
		<div class="foot">
			<button class="layui-btn layui-btn-small layui-btn-primary"
				id="btn-close">关闭</button>
		</div>
	</form>
</div>
<script type="text/javascript">
	layui.config({
		base: '${base}/static/web/js/user/',version: true //你的模块目录
	}).use('userFeedbackForm'); //加载入口
</script> 
</body>
</html>