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Submitted URL: http://t1.ink/f/9dssos
Effective URL: https://www.jsform.com/web/formview/610baf7275a03c0313c99829
Submission: On May 18 via manual from PH — Scanned from DE
Effective URL: https://www.jsform.com/web/formview/610baf7275a03c0313c99829
Submission: On May 18 via manual from PH — Scanned from DE
Form analysis
1 forms found in the DOMPOST /web/formview/610baf7275a03c0313c99829
<form id="form1" class="form" action="/web/formview/610baf7275a03c0313c99829" method="post">
<input type="hidden" id="INITTIME" name="INITTIME" value="1652844018288">
<input type="hidden" id="FRMID" name="FRMID" autofill="" autocache="" csm="" csm-position="" value="610baf7275a03c0313c99829">
<input type="hidden" id="TMOUT" name="TMOUT_number" value="1652844021390">
<input type="hidden" id="secKey" name="SECKEY" value="">
<input type="hidden" id="dynamicDateType" name="DYNAMICDATETYPE" value="">
<div class="info" id="formHeader">
<h2>优游(1.0)年中庆,礼金礼品一把抓!(阶段3)</h2>
<div></div>
</div>
<ul id="fields" class="fields">
<li id="61089ff775a03c10694bb4e7" class="one field_li_for_logic" typ="radio" reqd="1" reqdtxt=""><label class="desc"> <span class="req">*</span>选择礼品(择一)</label>
<div class="content pretty-box"><span><input class="fld" id="r61089ff775a03c10694bb4e8" type="radio" name="F1_radio" value="小米即热饮水机2.5L"><label class="fldlabeltxt" for="r61089ff775a03c10694bb4e8"><span
class="itemtspan">小米即热饮水机2.5L</span></label></span><span><input class="fld" id="r61089ff775a03c10694bb4e9" type="radio" name="F1_radio" value="飞利浦(PHILIPS) 电动牙刷"><label class="fldlabeltxt" for="r61089ff775a03c10694bb4e9"><span
class="itemtspan">飞利浦(PHILIPS) 电动牙刷</span></label></span><span><input class="fld" id="r61089ff775a03c10694bb4ea" type="radio" name="F1_radio" value="小米空气净化器"><label class="fldlabeltxt" for="r61089ff775a03c10694bb4ea"><span
class="itemtspan">小米空气净化器</span></label></span></div>
</li>
<li id="610283a475a03c106930b836" class="field_li_for_logic" typ="name" reqd="1" reqdtxt=""><label class="desc"> <span class="req">*</span>平台账号&Email</label>
<div class="content">
<div class="contact-wrap"><span class="contact-icon"><i class="iconfont"></i></span><input type="text" autocomplete="off" maxlength="32" class="input fld m" name="F3"></div>
</div>
</li>
<li id="610283a475a03c106930b837" class="field_li_for_logic" typ="name" reqd="1" reqdtxt=""><label class="desc"> <span class="req">*</span>姓名(收货人)</label>
<div class="content">
<div class="contact-wrap"><span class="contact-icon"><i class="iconfont"></i></span><input type="text" autocomplete="off" maxlength="32" class="input fld m" name="F4"></div>
</div>
</li>
<li id="610283a475a03c106930b838" class="field_li_for_logic" typ="phone" reqd="1" reqdtxt=""><label class="desc"> <span class="req">*</span>手机</label>
<div class="content">
<div class="contact-wrap"><span class="contact-icon"><i class="iconfont"></i></span><span class="fake-fld-input m"><input type="text" autocomplete="off" maxlength="11" fmt="mobile" class="phone input fld phone-input" name="F5"></span></div>
</div>
</li>
<li id="610283a475a03c106930b839" class="field_li_for_logic" typ="address" reqd="1" reqdtxt=""><label class="desc"> <span class="req">*</span>地址(收货)</label>
<div class="content onelineLeft"><span class="left addresspro thirdAddress"><select class="xxl province input fld scalehide" name="F7">
<option value="">省/自治区/直辖市</option>
<option value="北京市">北京市</option>
<option value="上海市">上海市</option>
<option value="天津市">天津市</option>
<option value="重庆市">重庆市</option>
<option value="广东省">广东省</option>
<option value="辽宁省">辽宁省</option>
<option value="江苏省">江苏省</option>
<option value="湖北省">湖北省</option>
<option value="四川省">四川省</option>
<option value="陕西省">陕西省</option>
<option value="河北省">河北省</option>
<option value="山西省">山西省</option>
<option value="河南省">河南省</option>
<option value="吉林省">吉林省</option>
<option value="黑龙江省">黑龙江省</option>
<option value="内蒙古自治区">内蒙古自治区</option>
<option value="山东省">山东省</option>
<option value="安徽省">安徽省</option>
<option value="浙江省">浙江省</option>
<option value="福建省">福建省</option>
<option value="湖南省">湖南省</option>
<option value="广西壮族自治区">广西壮族自治区</option>
<option value="江西省">江西省</option>
<option value="贵州省">贵州省</option>
<option value="云南省">云南省</option>
<option value="西藏自治区">西藏自治区</option>
<option value="海南省">海南省</option>
<option value="甘肃省">甘肃省</option>
<option value="宁夏回族自治区">宁夏回族自治区</option>
<option value="青海省">青海省</option>
<option value="新疆维吾尔自治区">新疆维吾尔自治区</option>
<option value="香港特别行政区">香港特别行政区</option>
<option value="澳门特别行政区">澳门特别行政区</option>
<option value="台湾">台湾</option>
<option value="海外">海外</option>
</select>
<div class="treeselect-warp formview-select province-treeselect input-select web"><input type="hidden">
<div class="name-out-warp">
<div class="tree-names">省/自治区/直辖市</div><i class="arrows iconfont"></i>
</div>
<div class="panel-out-warp" style="display: none">
<div class="panel-out">
<div class="panel-warp radio-tree">
<div class="filter-warp"><input type="text" class="search-input" autocomplete="off" placeholder="输入关键字搜索"></div>
<div class="tree-ul-wrap" style="max-height: 160px;">
<ul class="tree-ul" style="display: block;">
<li class="tree-li" style="display: none; padding-left: 8px;"></li>
<ul class="tree-ul" style="display: block;">
<li class="tree-li selected tree-li-sel" style="padding-left: 8px;" value=""><label for="" class="tree-lab" title="省/自治区/直辖市">省/自治区/直辖市</label></li>
</ul>
<ul class="tree-ul" style="display: block;">
<li class="tree-li tree-li-sel" style="padding-left: 8px;" value="北京市"><label for="北京市" class="tree-lab" title="北京市">北京市</label></li>
</ul>
<ul class="tree-ul" style="display: block;">
<li class="tree-li tree-li-sel" style="padding-left: 8px;" value="上海市"><label for="上海市" class="tree-lab" title="上海市">上海市</label></li>
</ul>
<ul class="tree-ul" style="display: block;">
<li class="tree-li tree-li-sel" style="padding-left: 8px;" value="天津市"><label for="天津市" class="tree-lab" title="天津市">天津市</label></li>
</ul>
<ul class="tree-ul" style="display: block;">
<li class="tree-li tree-li-sel" style="padding-left: 8px;" value="重庆市"><label for="重庆市" class="tree-lab" title="重庆市">重庆市</label></li>
</ul>
<ul class="tree-ul" style="display: block;">
<li class="tree-li tree-li-sel" style="padding-left: 8px;" value="广东省"><label for="广东省" class="tree-lab" title="广东省">广东省</label></li>
</ul>
<ul class="tree-ul" style="display: block;">
<li class="tree-li tree-li-sel" style="padding-left: 8px;" value="辽宁省"><label for="辽宁省" class="tree-lab" title="辽宁省">辽宁省</label></li>
</ul>
<ul class="tree-ul" style="display: block;">
<li class="tree-li tree-li-sel" style="padding-left: 8px;" value="江苏省"><label for="江苏省" class="tree-lab" title="江苏省">江苏省</label></li>
</ul>
<ul class="tree-ul" style="display: block;">
<li class="tree-li tree-li-sel" style="padding-left: 8px;" value="湖北省"><label for="湖北省" class="tree-lab" title="湖北省">湖北省</label></li>
</ul>
<ul class="tree-ul" style="display: block;">
<li class="tree-li tree-li-sel" style="padding-left: 8px;" value="四川省"><label for="四川省" class="tree-lab" title="四川省">四川省</label></li>
</ul>
<ul class="tree-ul" style="display: block;">
<li class="tree-li tree-li-sel" style="padding-left: 8px;" value="陕西省"><label for="陕西省" class="tree-lab" title="陕西省">陕西省</label></li>
</ul>
<ul class="tree-ul" style="display: block;">
<li class="tree-li tree-li-sel" style="padding-left: 8px;" value="河北省"><label for="河北省" class="tree-lab" title="河北省">河北省</label></li>
</ul>
<ul class="tree-ul" style="display: block;">
<li class="tree-li tree-li-sel" style="padding-left: 8px;" value="山西省"><label for="山西省" class="tree-lab" title="山西省">山西省</label></li>
</ul>
<ul class="tree-ul" style="display: block;">
<li class="tree-li tree-li-sel" style="padding-left: 8px;" value="河南省"><label for="河南省" class="tree-lab" title="河南省">河南省</label></li>
</ul>
<ul class="tree-ul" style="display: block;">
<li class="tree-li tree-li-sel" style="padding-left: 8px;" value="吉林省"><label for="吉林省" class="tree-lab" title="吉林省">吉林省</label></li>
</ul>
<ul class="tree-ul" style="display: block;">
<li class="tree-li tree-li-sel" style="padding-left: 8px;" value="黑龙江省"><label for="黑龙江省" class="tree-lab" title="黑龙江省">黑龙江省</label></li>
</ul>
<ul class="tree-ul" style="display: block;">
<li class="tree-li tree-li-sel" style="padding-left: 8px;" value="内蒙古自治区"><label for="内蒙古自治区" class="tree-lab" title="内蒙古自治区">内蒙古自治区</label></li>
</ul>
<ul class="tree-ul" style="display: block;">
<li class="tree-li tree-li-sel" style="padding-left: 8px;" value="山东省"><label for="山东省" class="tree-lab" title="山东省">山东省</label></li>
</ul>
<ul class="tree-ul" style="display: block;">
<li class="tree-li tree-li-sel" style="padding-left: 8px;" value="安徽省"><label for="安徽省" class="tree-lab" title="安徽省">安徽省</label></li>
</ul>
<ul class="tree-ul" style="display: block;">
<li class="tree-li tree-li-sel" style="padding-left: 8px;" value="浙江省"><label for="浙江省" class="tree-lab" title="浙江省">浙江省</label></li>
</ul>
<ul class="tree-ul" style="display: block;">
<li class="tree-li tree-li-sel" style="padding-left: 8px;" value="福建省"><label for="福建省" class="tree-lab" title="福建省">福建省</label></li>
</ul>
<ul class="tree-ul" style="display: block;">
<li class="tree-li tree-li-sel" style="padding-left: 8px;" value="湖南省"><label for="湖南省" class="tree-lab" title="湖南省">湖南省</label></li>
</ul>
<ul class="tree-ul" style="display: block;">
<li class="tree-li tree-li-sel" style="padding-left: 8px;" value="广西壮族自治区"><label for="广西壮族自治区" class="tree-lab" title="广西壮族自治区">广西壮族自治区</label></li>
</ul>
<ul class="tree-ul" style="display: block;">
<li class="tree-li tree-li-sel" style="padding-left: 8px;" value="江西省"><label for="江西省" class="tree-lab" title="江西省">江西省</label></li>
</ul>
<ul class="tree-ul" style="display: block;">
<li class="tree-li tree-li-sel" style="padding-left: 8px;" value="贵州省"><label for="贵州省" class="tree-lab" title="贵州省">贵州省</label></li>
</ul>
<ul class="tree-ul" style="display: block;">
<li class="tree-li tree-li-sel" style="padding-left: 8px;" value="云南省"><label for="云南省" class="tree-lab" title="云南省">云南省</label></li>
</ul>
<ul class="tree-ul" style="display: block;">
<li class="tree-li tree-li-sel" style="padding-left: 8px;" value="西藏自治区"><label for="西藏自治区" class="tree-lab" title="西藏自治区">西藏自治区</label></li>
</ul>
<ul class="tree-ul" style="display: block;">
<li class="tree-li tree-li-sel" style="padding-left: 8px;" value="海南省"><label for="海南省" class="tree-lab" title="海南省">海南省</label></li>
</ul>
<ul class="tree-ul" style="display: block;">
<li class="tree-li tree-li-sel" style="padding-left: 8px;" value="甘肃省"><label for="甘肃省" class="tree-lab" title="甘肃省">甘肃省</label></li>
</ul>
<ul class="tree-ul" style="display: block;">
<li class="tree-li tree-li-sel" style="padding-left: 8px;" value="宁夏回族自治区"><label for="宁夏回族自治区" class="tree-lab" title="宁夏回族自治区">宁夏回族自治区</label></li>
</ul>
<ul class="tree-ul" style="display: block;">
<li class="tree-li tree-li-sel" style="padding-left: 8px;" value="青海省"><label for="青海省" class="tree-lab" title="青海省">青海省</label></li>
</ul>
<ul class="tree-ul" style="display: block;">
<li class="tree-li tree-li-sel" style="padding-left: 8px;" value="新疆维吾尔自治区"><label for="新疆维吾尔自治区" class="tree-lab" title="新疆维吾尔自治区">新疆维吾尔自治区</label></li>
</ul>
<ul class="tree-ul" style="display: block;">
<li class="tree-li tree-li-sel" style="padding-left: 8px;" value="香港特别行政区"><label for="香港特别行政区" class="tree-lab" title="香港特别行政区">香港特别行政区</label></li>
</ul>
<ul class="tree-ul" style="display: block;">
<li class="tree-li tree-li-sel" style="padding-left: 8px;" value="澳门特别行政区"><label for="澳门特别行政区" class="tree-lab" title="澳门特别行政区">澳门特别行政区</label></li>
</ul>
<ul class="tree-ul" style="display: block;">
<li class="tree-li tree-li-sel" style="padding-left: 8px;" value="台湾"><label for="台湾" class="tree-lab" title="台湾">台湾</label></li>
</ul>
<ul class="tree-ul" style="display: block;">
<li class="tree-li tree-li-sel" style="padding-left: 8px;" value="海外"><label for="海外" class="tree-lab" title="海外">海外</label></li>
</ul>
</ul>
</div>
</div>
</div>
</div>
</div>
</span><span class="left addresscity thirdAddress"><select class="xxl city input fld scalehide" name="F8">
<option value="">市</option>
</select>
<div class="treeselect-warp formview-select city-treeselect input-select web"><input type="hidden">
<div class="name-out-warp">
<div class="tree-names">市</div><i class="arrows iconfont"></i>
</div>
<div class="panel-out-warp" style="display: none">
<div class="panel-out">
<div class="panel-warp radio-tree">
<div class="tree-ul-wrap" style="max-height: 160px;">
<ul class="tree-ul" style="display: block;">
<li class="tree-li" style="display: none; padding-left: 8px;"></li>
<ul class="tree-ul" style="display: block;">
<li class="tree-li selected tree-li-sel" style="padding-left: 8px;" value=""><label for="" class="tree-lab" title="市">市</label></li>
</ul>
</ul>
</div>
</div>
</div>
</div>
</div>
</span><span class="left addresszip thirdAddress"><select class="xxl zip input fld scalehide" name="F6">
<option value="">区/县</option>
</select>
<div class="treeselect-warp formview-select zip-treeselect input-select web"><input type="hidden">
<div class="name-out-warp">
<div class="tree-names">区/县</div><i class="arrows iconfont"></i>
</div>
<div class="panel-out-warp" style="display: none">
<div class="panel-out">
<div class="panel-warp radio-tree">
<div class="tree-ul-wrap" style="max-height: 160px;">
<ul class="tree-ul" style="display: block;">
<li class="tree-li" style="display: none; padding-left: 8px;"></li>
<ul class="tree-ul" style="display: block;">
<li class="tree-li selected tree-li-sel" style="padding-left: 8px;" value=""><label for="" class="tree-lab" title="区/县">区/县</label></li>
</ul>
</ul>
</div>
</div>
</div>
</div>
</div>
</span><span class="left " style="width:100%;margin-top:8px"><textarea style="height:60px" class="xxl detail input fld" name="F9" placeholder="详细地址"></textarea></span></div>
</li>
<li class="pc-submit field_li_for_logic"><input id="btnSubmit" type="submit" class="btn-submit" onclick="return false;" value="提交"></li>
</ul>
</form>
Text Content
扫一扫分享给好友 优游(1.0)年中庆,礼金礼品一把抓!(阶段3) * *选择礼品(择一) 小米即热饮水机2.5L飞利浦(PHILIPS) 电动牙刷小米空气净化器 * *平台账号&Email * *姓名(收货人) * *手机 * *地址(收货) 省/自治区/直辖市北京市上海市天津市重庆市广东省辽宁省江苏省湖北省四川省陕西省河北省山西省河南省吉林省黑龙江省内蒙古自治区山东省安徽省浙江省福建省湖南省广西壮族自治区江西省贵州省云南省西藏自治区海南省甘肃省宁夏回族自治区青海省新疆维吾尔自治区香港特别行政区澳门特别行政区台湾海外 省/自治区/直辖市 * * 省/自治区/直辖市 * 北京市 * 上海市 * 天津市 * 重庆市 * 广东省 * 辽宁省 * 江苏省 * 湖北省 * 四川省 * 陕西省 * 河北省 * 山西省 * 河南省 * 吉林省 * 黑龙江省 * 内蒙古自治区 * 山东省 * 安徽省 * 浙江省 * 福建省 * 湖南省 * 广西壮族自治区 * 江西省 * 贵州省 * 云南省 * 西藏自治区 * 海南省 * 甘肃省 * 宁夏回族自治区 * 青海省 * 新疆维吾尔自治区 * 香港特别行政区 * 澳门特别行政区 * 台湾 * 海外 市 市 * * 市 区/县 区/县 * * 区/县 * 由表单大师提供制表服务 联系客服