辰东,辰东

附件</div>
					<input type="file" name="File" class="wenj" wow="fadeInUp">
					<div   id="y4g0w2qs"   class="t3 clean" wow="fadeInUp">問題詳情</div>
					<div   id="y4g0w2qs"   class="clean" wow="fadeInUp">
						<div   id="y4g0w2qs"   class="clean tent fl">
							<div   id="y4g0w2qs"   class="t4 clean">問題類型 <span>*</span></div>
							<div   id="y4g0w2qs"   class="input clean before">
								<select name="Qtype" class="maxw maxh" check="str" tip="請(qǐng)選擇問題類型">
									<option value="">選擇類別</option>
                                    
                                                                        <option value="問題一">問題一</option>
                                                                        <option value="問題二">問題二</option>
                                                                        
								</select>
							</div>
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						<div   id="y4g0w2qs"   class="clean tent fr">
							<div   id="y4g0w2qs"   class="t4 clean">地區(qū) <span>*</span></div>
							<div   id="y4g0w2qs"   class="input clean before">
								<select name="Region" class="maxw maxh" check="str" tip="請(qǐng)選擇您的地區(qū)">
									<option value="">選擇您的地區(qū)</option>
								
                                	                                    <option value="東南亞地區(qū)">東南亞地區(qū)</option>
                                                                        <option value="亞太地區(qū)">亞太地區(qū)</option>
                                                                        
                                </select>
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							<div   id="y4g0w2qs"   class="t4 clean">行業(yè) <span>*</span></div>
							<div   id="y4g0w2qs"   class="input clean before">
								<select name="Industry" class="maxw maxh" check="str" tip="請(qǐng)選擇行業(yè)">
									<option value="">細(xì)分市場(chǎng)</option>
								
                                	                                    <option value="行業(yè)一">行業(yè)一</option>
                                                                        <option value="行業(yè)二">行業(yè)二</option>
                                                                        
                                </select>
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							<div   id="y4g0w2qs"   class="t4 clean">應(yīng)用類型 <span>*</span></div>
							<div   id="y4g0w2qs"   class="input clean before">
								<select name="Atype" class="maxw maxh" check="str" tip="請(qǐng)選擇應(yīng)用類型">
									<option value="">應(yīng)用分類</option>
								
                                	                                    <option value="類型一">類型一</option>
                                                                        <option value="類型二">類型二</option>
                                                                        
                                </select>
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							<div   id="y4g0w2qs"   class="t4 clean">產(chǎn)品</div>
							<div   id="y4g0w2qs"   class="input clean before bgno">
								<input type="text" name="Pro" class="maxw maxh">
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						<div   id="y4g0w2qs"   class="clean tent fr">
							<div   id="y4g0w2qs"   class="t4 clean">預(yù)估年產(chǎn)量（件）</div>
							<div   id="y4g0w2qs"   class="input clean before">
								<select name="Output" class="maxw maxh">
									<option value="">預(yù)計(jì)年產(chǎn)量（片）</option>
								
                                	                                    <option value="11111">11111</option>
                                                                        <option value="22222">22222</option>
                                                                        
                                </select>
							</div>
						</div>
					</div>
					<div   id="y4g0w2qs"   class="t4 clean" wow="fadeInUp">開始生產(chǎn)</div>
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						<input type="text" name="ProductionTime" class="maxw maxh" laydate=''>
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					<div   id="y4g0w2qs"   class="t3 clean" wow="fadeInUp">聯(lián)系人詳情</div>
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						<div   id="y4g0w2qs"   class="clean tent fl">
							<div   id="y4g0w2qs"   class="t4 clean" wow="fadeInUp">姓名 <span>*</span></div>
							<div   id="y4g0w2qs"   class="input clean">
								<input type="text" name="Name" class="maxw maxh" check="str" tip="請(qǐng)?zhí)顚懶彰?>
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						</div>
						<div   id="y4g0w2qs"   class="clean tent fr">
							<div   id="y4g0w2qs"   class="t4 clean" wow="fadeInUp">公司 <span>*</span></div>
							<div   id="y4g0w2qs"   class="input clean">
								<input type="text" name="Company" class="maxw maxh" check="str" tip="請(qǐng)?zhí)顚懝?>
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						</div>
					</div>
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							<div   id="y4g0w2qs"   class="t4 clean" wow="fadeInUp">國(guó)家 <span>*</span></div>
							<div   id="y4g0w2qs"   class="input clean before">
								<select name="Country" class="maxw maxh" check="str" tip="請(qǐng)?zhí)顚憞?guó)家">
									<option value="">選擇國(guó)家</option>
									
                                                                        <option value="中國(guó)">中國(guó)</option>
                                                                        <option value="俄羅斯">俄羅斯</option>
                                                                        
                                </select>
							</div>
						</div>
						<div   id="y4g0w2qs"   class="clean tent fr">
							<div   id="y4g0w2qs"   class="t4 clean" wow="fadeInUp">電子郵件 <span>*</span></div>
							<div   id="y4g0w2qs"   class="input clean">
								<input type="text" name="Email" class="maxw maxh" check="email" tip="請(qǐng)?zhí)顚戨娮余]件">
							</div>
						</div>
					</div>
					<div   id="y4g0w2qs"   class="clean" wow="fadeInUp">
						<div   id="y4g0w2qs"   class="clean tent fl">
							<div   id="y4g0w2qs"   class="t4 clean" wow="fadeInUp">電話號(hào)碼（可選）</div>
							<div   id="y4g0w2qs"   class="input clean">
								<input type="text" name="Phone" class="maxw maxh">
							</div>
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						<div   id="y4g0w2qs"   class="clean tent fr">
							<div   id="y4g0w2qs"   class="t4 clean" wow="fadeInUp">職位（可選）</div>
							<div   id="y4g0w2qs"   class="input clean before">
								<select name="Job" class="maxw maxh">
									<option value="">選擇職位</option>
                                    
                                                                        <option value="職位一">職位一</option>
                                                                        <option value="職位二">職位二</option>
                                                                        
								</select>
							</div>
						</div>
					</div>
					<div   id="y4g0w2qs"   class="c_submit" wow="fadeInUp">
		                <input type="hidden" name="Site" value="cn">
		                <input type="hidden" name="data" value="pro_table">
		                <input type="hidden" id="ProId" name="CateId" value="25" />
						<input type="hidden" name="GroupId" value="feedback" />
                        <label><input type="submit" />提交問題</label>
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				</form>
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