application_form.html 5.65 KB
<div class="application-form">
    <div class="application-tips">
        <h2>TIPS</h2>
        <p>{{formTip}}</p>
    </div>
    <div class="form">
        <form action="">
            <p class="clearfix">
                <label for="user-name">姓名:</label>
                <input id="user-name" class="char" type="text">
            </p>
            <p class="clearfix">
                <label for="user-tell">手机:</label>
                <input id="user-tell" class="char" type="text">
                <i class="verification-btn">获取验证码</i>
            </p>
            <p class="clearfix">
                <label for="user-verification">验证码:</label>
                <input id="user-verification" class="char" type="text">
                <i class="verification-icon">验证码错误</i>
            </p>
            <p class="address-char clearfix">
                <label for="user-address">地址:</label>
                <span id="user-address" class="varchar" contentEditable="true"></span>
            </p>
            <p class="clearfix">
                <label for="user-age">年龄:</label>
                <input id="user-age" class="char" type="text">
            </p>
            <p class="clearfix">
                <label>性别:</label>
                <input id="gender-male" class="radio checked" name="user-gender" type="radio" value="男" checked>
                <label class="radio-label" for="gender-male"></label>
                <input id="gender-female" class="radio" name="user-gender" type="radio" value="女">
                <label class="radio-label" for="gender-female"></label>
            </p>
            <p class="clearfix">
                <label>肤质:</label>
                <input id="skin1" class="radio checked" name="user-skin" type="radio" value="中性" checked>
                <label class="radio-label radio-long-label" for="skin1">中性</label>
                <input id="skin2" class="radio" name="user-skin" type="radio" value="干性">
                <label class="radio-label radio-long-label" for="skin2">干性</label>
                <input id="skin3" class="radio" name="user-skin" type="radio" value="油性">
                <label class="radio-label radio-long-label" for="skin3">油性</label>
                <input id="skin4" class="radio" name="user-skin" type="radio" value="混合">
                <label class="radio-label radio-long-label" for="skin4">混合</label>
                <input id="skin5" class="radio" name="user-skin" type="radio" value="敏感">
                <label class="radio-label radio-long-label" for="skin5">敏感</label>
            </p>
            <p class="clearfix">
                <label>您的问题</label>
            </p>
            <p class="trouble-wrap clearfix">
                <span class="clearfix">
                    <input id="trouble1" class="checkbox" name="user-trouble" type="checkbox" value="干燥">
                    <em></em>
                    <label class="checkbox-label" for="trouble1">干燥</label>
                </span>
                <span class="clearfix">
                    <input id="trouble2" class="checkbox" name="user-trouble" type="checkbox" value="过敏">
                    <em></em>
                    <label class="checkbox-label" for="trouble2">过敏</label>
                </span>
                <span class="clearfix">
                    <input id="trouble3" class="checkbox" name="user-trouble" type="checkbox" value="松弛">
                    <em></em>
                    <label class="checkbox-label" for="trouble3">松弛</label>
                </span>
                <span class="clearfix">
                    <input id="trouble4" class="checkbox" name="user-trouble" type="checkbox" value="细纹">
                    <em></em>
                    <label class="checkbox-label" for="trouble4">细纹</label>
                </span>
                <span class="clearfix">
                    <input id="trouble5" class="checkbox" name="user-trouble" type="checkbox" value="出油">
                    <em></em>
                    <label class="checkbox-label" for="trouble5">出油</label>
                </span>
                <span class="clearfix">
                    <input id="trouble6" class="checkbox" name="user-trouble" type="checkbox" value="痘痘">
                    <em></em>
                    <label class="checkbox-label" for="trouble6">痘痘</label>
                </span>
                <span class="clearfix">
                    <input id="trouble7" class="checkbox" name="user-trouble" type="checkbox" value="红血丝">
                    <em></em>
                    <label class="checkbox-label" for="trouble7">红血丝</label>
                </span>
                <span class="clearfix">
                    <input id="trouble8" class="checkbox" name="user-trouble" type="checkbox" value="色斑">
                    <em></em>
                    <label class="checkbox-label" for="trouble8">色斑</label>
                </span>
                <span class="clearfix">
                    <input id="trouble9" class="checkbox" name="user-trouble" type="checkbox" value="肤色不均">
                    <em></em>
                    <label class="checkbox-label" for="trouble9">肤色不均</label>
                </span>
            </p>
            <div class="application-reason" contentEditable="true">
                <span class="placeholder">你可以从肌肤现有问题,钟爱哪些产品等方面提交申请理由</span>
            </div>
            <p class="clearfix">
                <input class="submit-btn" type="button" value="免费申请">
            </p>
        </form>
    </div>
</div>