<!--{include file="<!--{$oetplpath}-->widget/block_header.tpl"}-->
<style type="text/css">
  body{min-width: auto;}
</style>
<form action="" class="layui-form">
  <div class="party_box">
  
    <div class="oe_yanmacon" id="range_box" style="display:none;">
      <div class="oe_yanma"  style="left:280px; top:60px;">
        <input type="hidden" name="rangecode" id="rangecode" value="" />
        <input type="hidden" id="send_type" id="send_type" value="" />
        <h4>输入正确的图片校验码发送短信</h4>
        <input type="text" name="block_range" id="block_range" placeholder="请填写图片校验码" maxlength="5" data-input="mobile" /> 
        <img id="send_img_code" src="<!--{$urlpath}-->source/include/validcode.php?type=number&width=60&height=25&num=5" alt="点击换一张" class="cursor" />
      </div>
    </div>
    <!--//range_box End -->
    
    <div class="partybm_tips">
      以下报名资料必填，姓名、身份证号，手机号等个人信息受隐私保护，仅用于活动报名核实，不对外公开。
      <font color="red">
      <!--{if $party.moneylady > 0}-->
      女士：￥<!--{doubleval($party.moneylady)}-->元&nbsp;&nbsp;&nbsp;
      <!--{/if}-->
      <!--{if $party.moneyman > 0}-->
      男士：￥<!--{doubleval($party.moneyman)}-->元&nbsp;&nbsp;&nbsp;
      <!--{/if}-->
      </font>
    </div>
    <input type="hidden" name="partyid" id="partyid" value="<!--{$partyid}-->">

    <div class="layui-form-item">
      <label class="layui-form-label"><i>*</i>手机号</label>
      <div class="layui-input-block">
        <input type="text" name="mobile" id="mobile" maxlength="11" value="" placeholder="请输入手机号码" autocomplete="off" class="layui-input input_359" />
      </div>
    </div>
    
    <!--{if $config.party_is_mobilecode == '1'}-->
    <!--{if $config.smsflag == '1'}-->
    <div class="layui-form-item oe_ma">
      <label class="layui-form-label"><i>*</i>验证码</label>
      <div class="layui-input-block ">
        <input type="text" name="mobilecode" id="mobilecode" maxlength="6" placeholder="请输入手机验证码" autocomplete="off" class="layui-input input_359" />
        <span class="action-send-mobile-code get" f="but_send_mobile_code0" data-input="mobile" data-sendtype="party"><i>获取验证码</i></span>
      </div>
    </div>
    <!--{/if}-->
    <!--{/if}-->

    <div class="layui-form-item">
      <label class="layui-form-label"><i>*</i>姓&#12288;名</label>
      <div class="layui-input-block">
        <input type="text" class="layui-input" name="truename" id="truename" value="" placeholder="请输入真实姓名" maxlength="20" />
      </div>
    </div>

    <!--{if $config.party_is_idcard == '1'}-->
    <div class="layui-form-item">
      <label class="layui-form-label"><i>*</i>身份证号</label>
      <div class="layui-input-block">
        <input type="text" class="layui-input" name="idnumber" id="idnumber" value="" placeholder="请输入身份证号" maxlength="18" />
      </div>
    </div>
    <!--{/if}-->
    
    <div class="oe_geline">
      <span>填写以下基本资料</span>
    </div>

    <div class="layui-form-item">
      <label class="layui-form-label"><i>*</i>性&#12288;别</label>
      <div class="layui-input-block">
        <!--{hook mod="var" name="gender" item="gender" type="select" text="=请选择=" class="layui-input layui-unselect"}-->
      </div>
    </div>

    <!--{if $config.party_is_weixin == '1'}-->
    <div class="layui-form-item">
      <label class="layui-form-label"><i>*</i>微信号</label>
      <div class="layui-input-block">
        <input type="text" class="layui-input" name="weixin" id="weixin" />
      </div>
    </div>
    <!--{/if}-->

    <!--{if $config.party_is_dist == '1'}-->
    <div class="layui-form-item three">
      <label class="layui-form-label"><i>*</i>所在地区</label>
      <div class="layui-input-inline">
        <!--//0.04.02 -->
        <!--{assign var="distlist" value=vo_list("mod={area0} where={v.parentid='0'}")}-->
        <select name="dist1" id="dist1" lay-filter="area" data-depth="1" data-name="dist" data-text="=请选择=">
          <option value="">=请选择=</option>
          <!--{foreach $distlist as $val}-->
          <option value="<!--{$val.areaid}-->"><!--{$val.areaname}--></option>
          <!--{/foreach}-->
        </select>
      </div>
      <div class="layui-input-inline" id="json_dist2">
        <select name="dist2" id="dist2" lay-filter="area">
          <option value="">=请选择=</option>
        </select>
      </div>
      <div class="layui-input-inline" id="json_dist3">
        <select name="dist3" id="dist3" lay-filter="area">
          <option value="">=请选择=</option>
        </select>
      </div>
    </div>
    <!--{/if}-->
    
    <!--{if $config.party_is_age == '1'}-->
    <div class="layui-form-item three">
      <label class="layui-form-label"><i>*</i>出生年月</label>
      <div class="layui-input-inline">
        <!--{assign var="ageyear" value=vo_list("mod={ageyear}")}-->
        <select name="ageyear" id="ageyear">
          <option value="">年</option>
          <!--{foreach $ageyear as $val}-->
          <option value="<!--{$val.value}-->"><!--{$val.value}--></option>
          <!--{/foreach}-->
        </select>
      </div>
      <div class="layui-input-inline">
        <!--{assign var="agemonth" value=vo_list("mod={agemonth}")}-->
        <select name="agemonth" id="agemonth">
          <option value="">月</option>
          <!--{foreach $agemonth as $val}-->
          <option value="<!--{$val.value}-->"><!--{$val.value}--></option>
          <!--{/foreach}-->
        </select>
      </div>
      <div class="layui-input-inline">
        <!--{assign var="ageday" value=vo_list("mod={ageday}")}-->
        <select name="ageday" id="ageday">
          <option value="">日</option>
          <!--{foreach $ageday as $val}-->
          <option value="<!--{$val.value}-->"><!--{$val.value}--></option>
          <!--{/foreach}-->
        </select>
      </div>
    </div>
    <!--{/if}-->
    
    <!--{if $config.party_is_marry == '1'}-->
    <div class="layui-form-item">
      <label class="layui-form-label"><i>*</i>婚&#12288;况</label>
      <div class="layui-input-block">
        <!--{hook mod="var" item="marry" name="marry" type="select" text="=请选择="}-->
      </div>
    </div>
    <!--{/if}-->

    <!--{if $config.party_is_sort == '1'}-->
    <div class="layui-form-item">
      <label class="layui-form-label"><i>*</i>交友类型</label>
      <div class="layui-input-block">
        <!--{hook mod="var" item="sort" name="sort" type="select" text="=请选择="}-->
      </div>
    </div>
    <!--{/if}-->

    <!--{if $config.party_is_height == '1'}-->
    <div class="layui-form-item">
      <label class="layui-form-label"><i>*</i>身&#12288;高</label>
      <div class="layui-input-block">
        <!--{assign var="varlist" value=vo_list("mod={height}")}-->
        <select name="height" id="height">
          <option value="">=请选择=</option>
          <!--{foreach $varlist as $val}-->
          <option value="<!--{$val.value}-->"<!--{if $val.value == '170'}--> selected<!--{/if}-->><!--{$val.value}-->CM</option>
          <!--{/foreach}-->
        </select>
      </div>
    </div>
    <!--{/if}-->

    <!--{if $config.party_is_weight == '1'}-->
    <div class="layui-form-item">
      <label class="layui-form-label"><i>*</i>体&#12288;重</label>
      <div class="layui-input-block">
        <!--{assign var="varlist" value=vo_list("mod={weight}")}-->
        <select name="weight" id="weight">
          <option value="">=请选择=</option>
          <!--{foreach $varlist as $val}-->
          <option value="<!--{$val.value}-->"<!--{if $val.value == '55'}--> selected<!--{/if}-->><!--{$val.value}-->KG</option>
          <!--{/foreach}-->
        </select>
      </div>
    </div>
    <!--{/if}-->

    <!--{if $config.party_is_education == '1'}-->
    <div class="layui-form-item">
      <label class="layui-form-label"><i>*</i>学&#12288;历</label>
      <div class="layui-input-block">
        <!--{hook mod="var" item="education" name="education" type="select" text="=请选择="}-->
      </div>
    </div>
    <!--{/if}-->

    <!--{if $config.party_is_job == '1'}-->
    <div class="layui-form-item">
      <label class="layui-form-label"><i>*</i>职&#12288;业</label>
      <div class="layui-input-block">
        <!--{hook mod="var" item="job" name="job" type="select" text="=请选择="}-->
      </div>
    </div>
    <!--{/if}-->

    <!--{if $config.party_is_salary == '1'}-->
    <div class="layui-form-item">
      <label class="layui-form-label"><i>*</i>年收入</label>
      <div class="layui-input-block">
        <!--{hook mod="var" item="salary" name="salary" type="select" text="=请选择="}-->
      </div>
    </div>
    <!--{/if}-->

    <!--{if $config.party_is_house == '1'}-->
    <div class="layui-form-item">
      <label class="layui-form-label"><i>*</i>购房情况</label>
      <div class="layui-input-block">
        <!--{hook mod="var" item="house" name="house" type="select" text="=请选择="}-->
      </div>
    </div>
    <!--{/if}-->

    <!--{if $config.party_is_car == '1'}-->
    <div class="layui-form-item">
      <label class="layui-form-label"><i>*</i>购车情况</label>
      <div class="layui-input-block">
        <!--{hook mod="var" item="car" name="car" type="select" text="=请选择="}-->
      </div>
    </div>
    <!--{/if}-->

    <!--{if $config.party_is_sources == '1'}-->
    <div class="layui-form-item">
      <label class="layui-form-label"><i>*</i>信息来源</label>
      <div class="layui-input-block">
        <input type="text" class="layui-input" name="sources" id="sources" />
      </div>
    </div>
    <!--{/if}-->

    <!--{if $config.party_is_target == '1'}-->
    <div class="layui-form-item">
      <label class="layui-form-label"><i>*</i>活动目的</label>
      <div class="layui-input-block">
        <input type="text" class="layui-input" name="target" id="target" />
      </div>
    </div>
    <!--{/if}-->

    <div class="clear"></div>

    <dl class="mar_dl">
      <dd>
        <button class="layui-btn layui-btn-lg" lay-submit lay-filter="addpartybm" f="but_submit_addbm" id="but_submit_addbm">
          确定报名<span class="oe_btn_loading layui-anim layui-icon layui-anim-rotate layui-anim-loop" style="display:none;">&#xe63d;</span>
        </button>
      </dd>
    </dl>
    
  </div>
</form>

<script src="<!--{$oetplpath}-->js/party_bm.js?spm=<!--{$time}-->"></script>
<script src="<!--{$urlpath}-->tpl/static/js/picker.send.js"></script>
</body>
</html>