<?php include_once(mvc::$cfg['PATH_TPL'].'public/headMenu.php');?>
<?php include_once(mvc::$cfg['SELF_TPL'].'public/heard01.php');?>

<div class="mui-content">
	<div class="ab_map">
				<img src="<?php echo mvc::$cfg['SELF_URL'];?>static/images/img10.jpg" >

	</div>
	<div class="ab-list ab-rongyu">
		<h5 style="margin-bottom:10px;">售后质保</h5>
		<p class="jiameng-txt01">
			为了保障您的权益，请认填写以下详细信息激活发动机保修。
		</p>
		<?php if(!empty($send)){?>
            <div class="center mar10 red2"><?php echo is_array($send) ? '申请已提交，我们会尽快联系您。' : $send; ?></div>
		<?php }else{?>
		<p class="jiameng-txt02">信息表单</p>
		<form method="post" onsubmit="return chkform()">
				<div class="mui-input-roow">
					<div><span>车主姓名</span></div>
					<input type="text" class="mui-input-cl" name="company" placeholder="请输入您的姓名">
				</div>
				<div class="mui-input-roow">
					<div><span>车主电话</span></div>
					<input type="text" class="mui-input-cl" name="sheng" placeholder="请输入您的电话">
				</div>
				<div class="mui-input-roow">
					<div><span class="bixuan">车牌号码</span></div>
					<input type="text" class="mui-input-cl" name="shi" placeholder="请输入车牌号码">
				</div>
				<div class="mui-input-roow mui-input-roow03">
					<div><span class="bixuan">发动机型号</span></div>
					<input type="text" class="mui-input-cl" name="qu" placeholder="请输入发动机型号">
				</div>
				<div class="mui-input-roow mui-input-roow04">
					<div><span class="bixuan">发动机流水编号</span></div>
					<input type="text" class="mui-input-cl" name="linkman" placeholder="请输入发动机流水编号">
				</div>
				<div class="mui-input-roow mui-input-roow05">
					<div><span>维修厂名称</span></div>
					<input type="text" class="mui-input-cl" name="mb" placeholder="请输入维修厂名称">
				</div>
				<div class="mui-input-roow mui-input-roow05">
					<div><span>维修厂电话</span></div>
					<input type="text" class="mui-input-cl" name="qq" placeholder="请输入维修厂电话">
				</div>
				<div class="mui-input-roow">
					<div><span>所在区域</span></div>
					<input type="text" class="mui-input-cl" name="sales" placeholder="请输入所在区域">
				</div>
                 <div class="mui-input-roow">
                     <div><span class="bixuan">验证码</span></div>
                     <input style="width: 68%;float: left;" type="text" class="mui-input-cl" name="code" placeholder="请输入验证码">
                     <img style="width: 30%;height: 30px;float: right;" src="<?php echo mvc::$cfg['SELF_URI'];?>user/imgcode?type=reg&t=<?php echo microtime(true);?>" class="imgcode" id="reg_imgcode" onclick="IMGCODE.change('reg_imgcode', 'reg')">
                 </div>
				
				<div class="mui-input-roow mui-input-roow02">
					<button class="mui-input-act" type="submit">提交</button>
				</div>
		</form>
		<?php }?>
		<p class="fw">全国统一服务热线：<a href="tel:4006256616">4006256616</a></p>
	</div>
</div>
<?php include_once(mvc::$cfg['PATH_TPL'].'public/footBase.php');?>
<script type="text/javascript" src="<?php echo mvc::$cfg['SYS_URL'];?>static/js/user.js?ver=<?php echo mvc::$cfg['VER']['js'];?>" charset="utf-8"></script>
 <script>
 function chkform()
 {
 	if($.trim($('[name="shi"]').val()).length < 2){
 		mui.toast('请输入车牌号码');
 		return false;
 	}

 	if($.trim($('[name="qu"]').val()).length < 2){
 		mui.toast('请输入发动机型号');
 		return false;
 	}

 	if($.trim($('[name="linkman"]').val()).length < 2){
 		mui.toast('请输入发动机流水编号');
 		return false;
 	}

     if($.trim($('[name="code"]').val()).length < 2){
         mui.toast('请输入验证码');
         return false;
     }
 }
 </script>

<!--  -->
<!--<script type="text/javascript">-->
<!--$(function(){ -->
<!--	$('.nan001-btn').click(function(){-->
<!--		$('.nan001').toggle();-->
<!--		});-->
<!--})-->
<!--</script>-->