document.write('<table width="100%" border=0 cellspacing=0 cellpadding=5><form name=addform method=post target=_blank action=http://www.cntlzb.com/Include/leaveword_save.asp><input name=sortid type=hidden value=6><input name=tableid type=hidden value=11737><input name=ypid type=hidden value=0><tr><td width="30%" align=right><strong>用 户 名</strong>&nbsp;</td><td width="70%"><input name="book_user" type=text size=20 maxlength=16 class=input2 value=></td></tr><tr><td align=right><strong>联系方式</strong>&nbsp;</td><td><input name="book_contact" type=text size=30 maxlength=40 class=input2 value=></td></tr><tr><td align=right><strong>反馈内容</strong>&nbsp;</td><td><textarea class=textarea1 name="book_content" cols=40 rows=5></textarea></td></tr><tr><td align=right></td><td><p style="line-height:150%"><strong></tr><tr><td align=right></td><td><input type=image src=http://www.cntlzb.com/img/b_1.gif width=72 height=20 style=border:0px>　　<img src=http://www.cntlzb.com/img/b_2.gif width=72 height=20 onClick="this.document.addform.reset();" style="cursor:hand"></td></tr></form></table>');