{eyou:include file="header.htm" /}
{eyou:include file="banner.htm" /}
{eyou:include file="nav.htm" /}
<div class="lxwm lxwm2 padding">
    {eyou:guestbookform type='default' typeid="5"}
    <form method="POST" id="msg" action="{$field.action}" >
        <div class="zxly w2 w100">
            <h3 class="f-s20 m-b2 p-l" style="padding-left:175px;margin-bottom:10px;">GET IN TOUCH WITH Neata Battery</h3>
            <p class="d-y" style="margin-bottom:50px;text-align:center;padding-left:175px;width:100%">If you have any inquiries or questions, please filling up the form is going to help our team to resolve your issue fast and effectively. Thanks!</p>
            <div class="zxly-l w100 wow fadeInUp" data-wow-delay="0.2s">
                <dl>
                    <dt class="w100">{$field.itemname_1}<i>*</i></dt>
                    <dd class="w100">
                        <input class="m-b2" type="text" name="{$field.attr_1}" required>
                    </dd>
                </dl>
                <dl>
                    <dt class="w100">{$field.itemname_2}<i>*</i></dt>
                    <dd class="w100">
                        <input class="m-b2" type="text" name="{$field.attr_1}" required>
                    </dd>
                </dl>
                <dl>
                    <dt class="w100">{$field.itemname_3}<i>*</i></dt>
                    <dd class="w100">
                        <input class="m-b2" type="text" name="{$field.attr_1}" required>
                    </dd>
                </dl>
                <dl>
                    <dt class="w100">{$field.itemname_4}<i>*</i></dt>
                    <dd class="w100">
                        <input class="m-b2" type="text" name="{$field.attr_1}" required>
                    </dd>
                </dl>
                <dl>
                    <dt class="w100">{$field.itemname_6}<i>*</i></dt>
                    <dd class="w100">
                        <input class="m-b2" type="text" name="{$field.attr_1}" required>
                    </dd>
                </dl>
                <dl style="align-items: flex-start;">
                    <dt class="w100">{$field.itemname_5}<i>*</i></dt>
                    <dd class="w100">
                        <textarea cols="30" placeholder="" name="{$field.attr_5}" rows="10" required></textarea>
                    </dd>
                </dl>
                <dl>
                    <dt class="w100">Verification code</dt>
                    <dd class="w100" style="display: flex;align-items: center;"><input class="m-b2" type="text" style="max-width:calc(100% - 130px);width:260px;margin-right:5px;"><img style="height:40px;" id="imgVerify" onclick="fleshVerify();" src="/login.php?m=admin&c=Admin&a=vertify" /></dd>
                </dl>
                <p class="p-t1" style="padding-top:20px;">
                    <button type="reset">Reset</button>
                    <button type="submit" class="active">Submit</button>
                </p>
                <!--<input class="m-b2" type="text" placeholder="{$field.itemname_1}" name="{$field.attr_1}">-->
                <!--<input class="m-b2" type="text" placeholder="{$field.itemname_2}" name="{$field.attr_2}">-->
                <!--<input class="m-b2" type="text" placeholder="{$field.itemname_3}" name="{$field.attr_3}" required>-->
                <!--<input class="m-b2" type="text" placeholder="{$field.itemname_4}" name="{$field.attr_4}">-->
                <!--<p><input class="m-b2" type="text" placeholder="Verification code"><img id="imgVerify" onclick="fleshVerify();" src="/login.php?m=admin&c=Admin&a=vertify" /></p>-->
            </div>
            <!--<div class="zxly-r w100 wow fadeInUp" data-wow-delay="0.4s">-->
                <!--<textarea cols="30" placeholder="{$field.itemname_5}" name="{$field.attr_5}" rows="10"></textarea>-->
                <!--<p>-->
                <!--    <button type="reset">Reset</button>-->
                <!--    <button type="submit" class="active">Submit</button>-->
                <!--</p>-->
            <!--</div>-->
        </div>
        {$field.hidden}
    </form>
    {/eyou:guestbookform}
</div>

<script>
    function fleshVerify(){
        var src = "/login.php?m=admin&c=Admin&a=vertify";
        if (src.indexOf('?') > -1) {
            src += '&';
        } else {
            src += '?';
        }
        src += 'r='+Math.floor(Math.random()*100);
        $('#imgVerify').attr('src', src);//重载验证码
    }
</script>
{eyou:include file="footer.htm" /}