<!DOCTYPE html>
<html>
<head>
<meta charset="UTF-8">
<title>验证信息</title>
</head>
<body>
<form action="" method="post">
<table border="0" cellspacing="0" cellpadding="8" width="400" bgcolor="powderblue">
<tr><td colspan="2">验证信息</td></tr>
<tr><td colspan="2"><hr></td></tr>
<tr>
<td width="60"><label for="name">姓名:</label></td>
<td width="300"><input style="font-size:18px" type="text" id="name" name="name" value="" size="30" width="200"></td>
</tr>
<tr>
<td><label for="password">单位:</label></td>
<td><input style="font-size:18px" type="text" id="password" name="name" value="" placeholder="如：金沙县中学" size="30"></td>
</tr>
<tr>
<td><label for="mobile">手机:<td>
<input id="mobile" name="mobile" style="font-size:18px" type="text" size="11" /><span style="color:#FF0000"> *</span>
<input id="zphone" type="button" value=" 获取手机验证码 " onClick="get_mobile_code();"></td>
</tr>
<tr>
<td><label for="mobile_code">验证码:</td>
<td><input style="font-size:18px" type="text" size="10" id="mobile_code" name="mobile_code" /></td>
</tr>
<tr>
<td></td>
</tr>
<tr>
<td colspan="2">
<hr>
<input style="font-size:18px" type="submit" name="submit" value="提 交">
</td>
</tr>
</table>
</form>
</body>
</html>
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