document.writeln("");
document.writeln("");
document.writeln(" <!DOCTYPE html PUBLIC \"-\/\/W3C\/\/DTD XHTML 1.0 Transitional\/\/EN\" \"http:\/\/www.w3.org\/TR\/xhtml1\/DTD\/xhtml1-transitional.dtd\">");
document.writeln("");
document.writeln("<html xmlns=\"http:\/\/www.w3.org\/1999\/xhtml\">");
document.writeln("<meta http-equiv=\"Content-Type\" content=\"text\/html; charset=gb2312\">");
document.writeln("<head>");
document.writeln("    <title>无标题页<\/title>");
document.writeln("<\/head>");
document.writeln("<body>                        ");
document.writeln("<table width=250 border=1 cellpadding=0 cellspacing=\"2\" bordercolor=\"#F5F5F5\" bgcolor=\"#FFFFFF\" style=\" font-size:9pt; margin-left:20px;\">");
document.writeln("  ");
document.writeln("                            <form name=\"dinggou\"   method=\"get\" action=\"http:\/\/www.han120.com\/tmporder\/accept.asp\" style=\"margin:0px;\" onsubmit=\"return confirm_submit()\">");
document.writeln("<tr bgcolor=\"#FAFAFA\">");
document.writeln("      <td height=\"40\" colspan=\"2\" align=left><img src=\"http:\/\/www.han120.com\/images\/jiage.gif\" width=\"255\" ><br>");
document.writeln("      <br>      ");
document.writeln("      货到付款：即收到药品同时,款直接给送药人.&nbsp;<\/td>");
document.writeln("      特别提醒：心脏病患者谨慎服用.&nbsp;<\/td>");
document.writeln("    <\/tr>");
document.writeln("    <tr bgcolor=\"#FAFAFA\">");
document.writeln("      <td align=center><font size=2>名字:<\/font><\/td>");
document.writeln("      <td><input value=\"\" name=\"name\" size=\"15\" maxlength=\"40\" class=\"stdedit\">");
document.writeln("      <input type=\"hidden\" name=\"from\" value=\"SaveData\"><\/td>");
document.writeln("    <\/tr>");
document.writeln("    <tr>");
document.writeln("      <td width=\"20%\" height=\"20\" align=center>疗程: <\/td>");
document.writeln("      <td valign=top><select NAME=\"place\"  class=\"stdedit\" >");
document.writeln("          <option value=\"1疗程\">1疗程4盒=504,送2盒,一共6盒<\/option>");
document.writeln("          <option value=\"2疗程\">2疗程8盒=1008,送4盒,一共12盒<\/option>");
document.writeln("    <\/tr>");
document.writeln("");
document.writeln("    <TR>");
document.writeln("      <td width=\"20%\" valign=top align=center> 留言: <\/td>");
document.writeln("      <td><textarea name=\"Content\" cols=\"25\" rows=\"4\" >电话：");
document.writeln("地址：					<\/TEXTAREA>      <\/td>");
document.writeln("    <\/tr>");
document.writeln("    <TR>");
document.writeln("      <td colspan=\"2\" align=center valign=top><input type=\"Submit\" name=\"SUBMIT\" value=\"确定购买\" onClick=\"return CheckForm()\" class=\"stbuttom2\">");
document.writeln("      <input type=\"RESET\" name=\"RESET\" value=\"清除内容\" onClick=\"\" class=\"stbuttom2\"><\/td>");
document.writeln("    <\/form>  <\/tr>");
document.writeln("<\/table>");
document.writeln("");
document.writeln("<script  language=\"javascript\"> ");
document.writeln("<!-- -");
document.writeln("function  CheckForm() ");
document.writeln("{   ");
document.writeln("if  (document.dinggou.name.value.length==0)  {   ");
document.writeln("alert(\"请输入您姓名!\"); ");
document.writeln("document.dinggou.name.focus(); ");
document.writeln("return  false; ");
document.writeln("} ");
document.writeln("if  (document.dinggou.Content.value.length<20)  {   ");
document.writeln("alert(\"请输入电话和地址!\"); ");
document.writeln("document.dinggou.name.focus(); ");
document.writeln("return  false; ");
document.writeln("} ");
document.writeln("return  true; ");
document.writeln("} ");
document.writeln("--> ");
document.writeln("<\/script> ");
document.writeln("");
document.writeln("");
document.writeln("<script language=\"JavaScript1.2\">");
document.writeln("<!--");
document.writeln("function confirm_submit(){");
document.writeln("	if (confirm(\"你确定要购买吗？提交此表单就确定已下订单，不得以任何理由拒绝收货，否则以此订单为法律依据进行起诉。取消购买请点 取消\")){");
document.writeln("		return true;");
document.writeln("	}");
document.writeln("	return false;");
document.writeln("}");
document.writeln("\/\/-->");
document.writeln("<\/script>");
document.writeln("");
document.writeln("<\/body>");
document.writeln("<\/html>");
document.writeln("");
document.writeln("")