<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta charset="UTF-8">
<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
<meta http-equiv="X-UA-Compatible" content="IE=edge,chrome=1" />
<title><?php echo $cf['site_name'];?></title>
<meta name="keywords" content="<?php echo $cf['page_keywords'];?>" />
<meta name="description" content="<?php echo $cf['page_desc'];?>" />
<link rel="stylesheet" href="themes/<?php echo $cf['agent_themes'];?>/css/pc.css">
<link href="<?php echo $cf['manage_themes']; ?>/assets/font-awesome/css/font-awesome.css" rel="stylesheet" />
<!---手机自适应代码 -->
<script type="text/javascript">
var mobileAgent = new Array("iphone", "ipod", "ipad", "android", "mobile", "blackberry", "webos", "incognito", "webmate", "bada", "nokia", "lg", "ucweb", "skyfire");
var browser = navigator.userAgent.toLowerCase();
var isMobile = false;
for (var i=0; i<mobileAgent.length; i ){ if (browser.indexOf(mobileAgent[i])!=-1){ isMobile = true;
//alert(mobileAgent[i]);
location.href = "wapreg.php";
break; } }
</script>
<script src="./themes/manage/layer/jquery-1.9.1.min.js"></script>
<script src="./themes/manage/layer/layer.js"></script>
</head>
<body>
<?php
$act = $_GET["act"];
$yqm = trim($_GET["yqm"]);
$FileID=date("Ymd") . '' . rand(0,99);
$regagentid=$cf['agent_ew'].$FileID;
?>
<div class="wrap">
<!---顶部 -->
<div class="header">
<div class="hd c_float">
<div class="bd_w70">
<div class="f_left left_wp">
<img class="logo" src="themes/<?php echo $cf['agent_themes'];?>/images/logo.png" alt="" />
</div>
<div class="f_right right_wp c_float">
<div class="c_float f_left pg_wrap">
<p class="f_left index_pg">
<a class="color_yellow" href="agent.php" ><b><i class=" icon-zoom-in"></i> ***商授权查询</b></a></p>
</div>
<a onclick="agentlogin()" ><div class="f_right login"><i class="icon-rocket"></i> 进入***商平台</div></a>
<script>
function agentlogin(){
layer.open({
type: 2,
title:'手机扫一扫登陆',
skin: 'layui-layer-rim', //加上边框
shadeClose: true,
shade: 0.3,
area: ['240px', '240px'],
content: 'qrcode_login.php'
});
}
</script>
</div>
</div>
</div>
</div>
<!---TopEND -->
<!---Registration starts-->
<div>
<div class="banner">
<h1 class="f_left ">Apply to become a *** provider</h1>
<!---Start-->
<form name="formagent" method="post" enctype="multipart/form-data" action="?act=regagent">
<!--The registration form begins, the following are hidden form fields-->
< ;input name="agentid" id="agentid" type="hidden" value="<?php echo $regagentid; ?>" />
<input type="hidden" name ="applytime" value="<?php echo date('Y-m-d h:s',time());?>">
<input type="hidden"name="url " value="" >
<input type="hidden" name="addtime" value="<?php echo date("Y-m-d");?>" >
<input type="hidden" name="jietime" value="<?php echo date("Y-m-d",strtotime(" 365 days"));?>" >
<input type="hidden" id="about" >
<input type="hidden" name="tel" >
<input type="hidden " name="dizhi" >
<input type="hidden" name="beizhu" id="beizhu" value="">
<input type=" hidden" name="shzt" value="2">
<input type="hidden" name="hmd" value="no">
<input type ="hidden" name="password" value="123456" >
<!--The following are fillable form fields-->
<div class="reg_box ">
<div class="reg_wp" >
<div class="reg_input_wp " >
<input name="name" id="name" class="f_left " type="text" placeholder="Your name (required)" >
</div>
</div>
<div class="reg_wp">
<div class="reg_input_wp ">
<input name= "phone" id="phone" class="f_left " type="text" placeholder="Your mobile phone number (required)" onkeyup="value=value.replace(/[^1234567890-] /g,'' )">
</div>
</div>
<div class="reg_wp" >
<div class="reg_input_wp " >
<input name="weixin" id="weixin" class="f_left " type="text" placeholder="Your WeChat ID (Required)" >
</div>
</div>
<div class="reg_wp"> ;
<div class="reg_input_wp ">
<input name="idcard" id="idcard" class="f_left " type="text" placeholder="you *** number (required)" >
</div>
</div>
<!- - Determine whether the registration is an invitation initiated by ***. If so, hide the superior *** form filling and change it to automatic acquisition-->
<?php if($yqm=="") {?>
<div class="reg_wp" >
<div class="reg_input_wp ">
< input name="sjdls" type="text" class="f_left " id="sjdls" value="<?php echo $yqm; ?>" placeholder="Superior*** WeChat">
</div>
</div>
<?php }else {?>
<input name="sjdls" type="hidden" class="f_left " id="sjdls" value="<?php echo $yqm; ?>" >
<?php }?>
<!-- 判断结束 -->
<div class="reg_wp" >
<div class="reg_input_wp " >
<select name="product" class="f_left" style="width:100%;height:40px;" >
<option value="全部产品">不限***产品</option>
<?php
$pro = mysql_query("SELECT * FROM tgs_pro order by id desc ");
while($row = mysql_fetch_array($pro))
{
$pro_name = $row['pro_name'];
$pro_id = $row['id'];
?>
<option value="<?php echo $pro_id; ?>"><?php echo $pro_name; ?></option><?php }?></select>
</select>
</div>
</div>
<div class="reg_wp" >
<div class="reg_input_wp " >
<input
name="quyu" type="text" class="f_left " id="quyu" placeholder="期待***区域（必填）">
</div>
</div>
<div class="reg_wp" >
<div class="reg_input_wp " >
<select name="dengji" class="f_left " style="width:100%;height:40px;" id="dengji" >
<?php
$pro = mysql_query("SELECT * FROM tgs_dljb order by id desc ");
while($row = mysql_fetch_array($pro))
{
$dljb = $row['dljb'];
$jbid = $row['id'];
?>
<option value="<?php echo $jbid; ?>"><?php echo $dljb; ?></option><?php }?></select>
</select>
</div>
</div>
<?php if($cf['yzm_status']==1){
?>
<div class="reg_yzm_wp" style="width:300px;">
<div class="reg_yzm_input">
<input id='yzm' name="yzm" class="f_left " type="text" placeholder="验证码" />
<div class="f_right reg_yzm_search_btn"><img src="data/code.php" alt="验证码" title="点击刷新" style="width:100px;" onclick="this.src='data/code.php?d=' Math.random();"/></div>
</div>
</div>
<?php } ?>
<button type="submit" class="reg_search_btn">提交申请</button>
<div class="footer">
<div align="center"><a href="https://www.shcnn.com" target="_top" class="STYLE2 STYLE1">版权所有:商海软件</a>
</div>
</div>
</form>
</div>
</div>
</body>
<script>
$("#search").click(function(){
$("#trace_form").submit();
});
</script>
</html>
