<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
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<html xmlns="http://www.w3.org/1999/xhtml">
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<head>
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<meta http-equiv="Content-Type" content="text/html;charset=utf-8" />
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<meta name="keywords" content="{yun:}$keywords{/yun}"/>
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<meta name="description" content="{yun:}$description{/yun}"/>
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<link rel="stylesheet" href="{yun:}$style{/yun}/style/css.css?v={yun:}$config.cachecode{/yun}" type="text/css"/>
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<link rel="stylesheet" href="{yun:}$style{/yun}/style/yun_job_fairs.css?v={yun:}$config.cachecode{/yun}" type="text/css"/>
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<title>{yun:}$title{/yun}</title>
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</head>
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<body>
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{yun:}include file="$tplstyle/header.htm"{/yun}
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<div class="redeem">
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<div class="current_Location icon png">
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您当前的位置：<a href="{yun:}$config.sy_weburl{/yun}">首页</a> > <a href="{yun:}url m=redeem{/yun}">{yun:}$config.integral_pricename{/yun}商城</a> > {yun:}$row.name{/yun}
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</div>
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<div class="dh_show_box">
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<div class="dh_show_ddtit">请确认订单信息</div>
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<div class="dh_show_boxcont">
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<div class="dh_show_box_pic"><img src="{yun:}$row.pic{/yun}" width="88" height="88"></div>
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<div class="dh_show_box_name">{yun:}$row.name{/yun}</div>
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<div class="dh_show_box_p">
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所需{yun:}$config.integral_pricename{/yun}：{yun:}$row.integral*$smarty.get.num{/yun}{yun:}$config.integral_priceunit{/yun}{yun:}$config.integral_pricename{/yun}
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</div>
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<div class="dh_show_box_p">数量：{yun:}$smarty.get.num{/yun}件</div>
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</div>
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</div>
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<div class="dh_show_tit mt20">请填写收货地址</div>
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<form action="{yun:}url m=redeem c=savedh{/yun}" target="supportiframe" method="post" class="layui-form" onsubmit="return redeem_dh();" enctype="multipart/form-data">
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<input name="num" value="{yun:}$smarty.get.num{/yun}" type="hidden">
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<input type="hidden" id="cionly" name="cionly" value="{yun:}if empty($city_type){/yun}1{yun:}/if{/yun}">
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<div class="redeem_show_img_text">
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<div class="redeem_show_img_text_list">
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<span class="redeem_show_img_text_list_s"> </span>
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<span class="redeem_show_img_text_span">请填写联系方式；以便尽快将礼品送给您！</span>
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</div>
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<div class="redeem_show_img_text_list redeem_show_img_text_list_300">
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<span class="redeem_show_img_text_list_s"><span style="color:red;">*</span> 联系人：</span>
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<input type="text" name="linkman" class="supportiframe_text_in" value="{yun:}$uinfo.linkman{/yun}">
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</div>
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<div class="redeem_show_img_text_list redeem_show_img_text_list_300">
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<span class="redeem_show_img_text_list_s"><span style="color:red;">*</span> 联系电话：</span>
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<input type="text" name="linktel" onkeyup="this.value=this.value.replace(/[^0-9-]/g,'')" class="supportiframe_text_in" value="{yun:}$uinfo.moblie{/yun}">
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</div>
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<div class="redeem_show_img_text_list ">
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<span class="redeem_show_img_text_list_s"><span style="color:red;">*</span> 收货地区：</span>
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<div class="redeem_city_list_w fl cur150">
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<div class="layui-input-inline">
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<select name="provinceid" lay-filter="citys" id="provinceid">
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<option value="">请选择</option>
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{yun:}foreach from=$city_index key=j item=v{/yun}
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<option value="{yun:}$v{/yun}">{yun:}$city_name[$v]{/yun}</option>
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{yun:}/foreach{/yun}
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</select>
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</div>
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</div>
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<div class="redeem_city_list_w fl cur150">
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<div class="layui-input-inline">
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<select name="cityid" lay-filter="citys" id="cityid">
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<option value="">请选择</option>
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{yun:}foreach from=$city_type[$row.provinceid] key=j item=v{/yun}
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<option value="{yun:}$v{/yun}">{yun:}$city_name[$v]{/yun}</option>
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{yun:}/foreach{/yun}
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</select>
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</div>
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</div>
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<div class="redeem_city_list_w fl cur150">
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<div class="layui-input-inline" id="cityshowth">
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<select name="three_cityid" id="three_cityid">
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<option value="">请选择</option>
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{yun:}foreach from=$city_type[$row.cityid] key=j item=v{/yun}
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<option value="{yun:}$v{/yun}">{yun:}$city_name[$v]{/yun}</option>
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{yun:}/foreach{/yun}
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</select>
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</div>
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</div>
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</div>
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<div class="redeem_show_img_text_list ">
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<span class="redeem_show_img_text_list_s"><span style="color:red;">*</span> 详细地址：</span>
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<input type="text" name="address" class="supportiframe_text_in" style="width:400px;" value="{yun:}$change.address{/yun}">
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</div>
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<div class="redeem_show_img_text_list">
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<span class="redeem_show_img_text_list_s"><span style="color:red;"></span>留言备注：</span>
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<textarea class="supportiframe_textarea" name="other" placeholder="请提前与客服沟通确认"></textarea>
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</div>
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<div class="redeem_show_img_text_list redeem_show_img_text_list_300">
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<span class="redeem_show_img_text_list_s"><span style="color:red;">*</span> 帐号密码：</span>
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<input type="password" name="password" value="" class="supportiframe_text_in">
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</div>
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<div class="redeem_show_img_text_list"> <span class="redeem_show_img_text_list_s"> </span>
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<input name='id' value='{yun:}$row.id{/yun}' type='hidden'>
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<input type="submit" value="提交" name="submit" class="supportiframe_text_bth">
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</div>
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</div>
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</form>
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</div>
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<script src="{yun:}$config.sy_weburl{/yun}/js/jquery-1.8.0.min.js?v={yun:}$config.cachecode{/yun}" language="javascript"></script>
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<link href="{yun:}$config.sy_weburl{/yun}/js/layui/css/layui.css?v={yun:}$config.cachecode{/yun}" rel="stylesheet" type="text/css" />
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<script src="{yun:}$config.sy_weburl{/yun}/js/layui/layui.js?v={yun:}$config.cachecode{/yun}"></script>
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<script src="{yun:}$config.sy_weburl{/yun}/js/layui/custom_layer.js?v={yun:}$config.cachecode{/yun}"></script>
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<script src="{yun:}$config.sy_weburl{/yun}/js/lazyload.min.js?v={yun:}$config.cachecode{/yun}" language="javascript"></script>
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<script src="{yun:}$config.sy_weburl{/yun}/js/public.js?v={yun:}$config.cachecode{/yun}" language="javascript"></script>
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<!--[if IE 6]>
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<script src="{yun:}$config.sy_weburl{/yun}/js/png.js?v={yun:}$config.cachecode{/yun}"></script>
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<script>
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DD_belatedPNG.fix('.png');
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</script>
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<![endif]-->
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<iframe id="supportiframe" name="supportiframe" onload="returnmessage('supportiframe');" class="none"></iframe>
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<script language=javascript src='{yun:}$config.sy_weburl{/yun}/data/plus/city.cache.js?v={yun:}$config.cachecode{/yun}'></script>
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<script language=javascript src='{yun:}$config.sy_weburl{/yun}/js/city.js?v={yun:}$config.cachecode{/yun}'></script>
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{yun:}include file="$tplstyle/footer.htm"{/yun}
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