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打造產後辣媽咪
打造產後辣媽咪
2024-05-28
</div> <div class="ud_btn"> <a href="news_detail.php?id=624"><span>上一則</span> 女性殺手 子宮頸癌</a> <a href="news_detail.php?id=621"><span>下一則</span> 孕期養胎不養肉</a> </div> <a href="news_media.php" class="back_btn">BACK</a> <!-- 聯絡我們--> <div class="contactUs"> <div class="conTitle"> <h2>聯絡我們</h2> </div> <form action="quote/contact.php" method="post" id="contact"> <div class="form-group"> <label for="inputName" class="control-label">姓名</label> <div class="col"> <input type="text" name="name" id="name"> <span id="name_span"></span> </div> </div> <div class="form-group"> <label for="inputBirth" class="control-label">性別</label> <div class="col"> <div class="radio"> <div class="radio"> <label> <input type="radio" name="sex" value="1">男性</label>  <label> <input type="radio" name="sex" value="2" checked="">女性</label> </div> </div> </div> </div> <div class="form-group"> <label for="inputTel" class="control-label">行動電話</label> <div class="col"> <input type="text" name="tel" id="tel"> <span id="tel_span"></span> </div> </div> <div class="form-group"> <label for="inputMail" class="control-label">電子信箱</label> <div class="col"> <input type="text" name="mail" id="mail" placeholder="例：mermaid@mail.com"> <span id="mail_span"></span> </div> </div> <div class="form-group"> <label class="control-label">諮詢留言</label> <div class="col"> <textarea rows="10" name="text"></textarea> </div> </div> <div class="form-group"> <label for="inputCode" class="control-label">驗證碼</label> <div class="col"> <input class="nex" type="text" name="captcha" id="inputCode" placeholder="請輸入驗證碼"><span id="inputCode_span"></span> <div class="code-pic"><img src="plug_in/captcha/captcha.php" id="imgCaptcha"> </div> <a href="javascript:RefreshImage('imgCaptcha');" class="change captcha" id="reload-img">看不清，換一張</a> </div> </div> <div class="clearfix"></div> <div class="form-button"> <button type="button" class="btn btn-default" onclick="send();">送出</button> <button type="reset" class="btn btn-default">清除</button> </div> </form> </div> </div> <script> function RefreshImage(valImageId) { var objImage = document.images[valImageId]; 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