document.write("<form name='orde'r id='order' method='post' action='http://hyjingrui.com/admin/saveorder.asp?action=saveorder'>");
document.write("<table width=400 height=100% border=0 cellspacing=2 cellpadding=0>");
document.write("    <td width=30% height=20 align=right>您的公司：</td>");
document.write("      <td><input name=com type=text size=20 ></td>");
document.write("  </tr>");
document.write("  <tr>");
document.write("    <td width=30% height=20 align=right>您的称呼：</td>");
document.write("    <td><input name=name type=text size=20 ></td>");
document.write("  </tr>");
document.write("  <tr>");
document.write("    <td width=30% height=20 align=right>您的电话：</td>");
document.write("    <td><input name=tel type=text size=20 ></td>");
document.write("  </tr>");
document.write("  <tr>");
document.write("    <td width=30% height=20 align=right>您的传真：</td>");
document.write("    <td><input name=fax type=text size=20 ></td>");
document.write("  </tr>");
document.write("  <tr>");
document.write("    <td width=30% height=20 align=right>E-mail：</td>");
document.write("    <td><input name=email type=text size=20 ></td>");
document.write("  </tr>");
document.write("  <tr>");
document.write("    <td width=30% height=20 align=right>反馈主题：</td>");
document.write("    <td><input name=title type=text size=20 ></td>");
document.write("  </tr>");
document.write("  <tr>");
document.write("    <td width=30% height=20 align=right>反馈内容：</td>");
document.write("    <td><textarea name=remark cols=40 rows=4></textarea></td>");
document.write("  </tr>");
document.write("  <tr>");
document.write("    <td>&nbsp;</td>");
document.write("   <td><input type=submit name=Submit value=提交>");
document.write("      <input type=reset name=Submit2 value=重置> </td>");
document.write("  </tr>");
document.write("</table>");
document.write("</form>");