...
|
...
|
@@ -5,49 +5,54 @@ |
|
|
</div>
|
|
|
|
|
|
<form action="" class="apply-form">
|
|
|
<p>
|
|
|
<label for="name">姓名: </label>
|
|
|
<div class="field">
|
|
|
<label for="name">姓名:</label>
|
|
|
|
|
|
<input id="name" name="name" type="text" placeholder="姓名" maxlength="20"/>
|
|
|
</p>
|
|
|
<div class="clearfix"></div>
|
|
|
</div>
|
|
|
|
|
|
<p>
|
|
|
<label for="name">身份证号: </label>
|
|
|
<div class="field">
|
|
|
<label for="name">身份证号:</label>
|
|
|
|
|
|
<input id="name" name="idCardNo" type="text" placeholder="身份证号" maxlength="18"/>
|
|
|
</p>
|
|
|
<div class="clearfix"></div>
|
|
|
</div>
|
|
|
|
|
|
|
|
|
<p>
|
|
|
<div class="field">
|
|
|
<label for="name">卡号:</label>
|
|
|
<input id="name" name="cardNo" type="text" placeholder="银行卡号" maxlength="19"/>
|
|
|
</p>
|
|
|
|
|
|
<input id="card-no" name="cardNo" type="text" placeholder="银行卡号" size="26"/>
|
|
|
<div class="clearfix"></div>
|
|
|
</div>
|
|
|
|
|
|
|
|
|
<p>
|
|
|
<div class="field">
|
|
|
<label for="name">手机号:</label>
|
|
|
<input id="name" name="mobilePhone" type="text" placeholder="银行预留手机号码"/>
|
|
|
</p>
|
|
|
<div class="clearfix"></div>
|
|
|
</div>
|
|
|
|
|
|
<p>
|
|
|
<div class="field">
|
|
|
<label for="name">验证码:</label>
|
|
|
<input id="name" name="verifyCode" type="text" placeholder="请输入验证码" size="14" maxlength="4"/>
|
|
|
<button id="send-sms" class="count-down">获取验证码</button>
|
|
|
</p>
|
|
|
<div class="clearfix"></div>
|
|
|
</div>
|
|
|
|
|
|
<div class="agreements">
|
|
|
<input id="accept-agreements" name="agreements" type="checkbox"/>
|
|
|
<label for="accept-agreements">
|
|
|
免费开通,详情见 <a href="#">《有货分期服务协议》&《第三方支付协议》</a>
|
|
|
<span>免费开通,详情见 <a href="#">《有货分期服务协议》&《第三方支付协议》</a></span>
|
|
|
</label>
|
|
|
<div class="clearfix"></div>
|
|
|
</div>
|
|
|
|
|
|
<div class="data-encryption">
|
|
|
数据智能加密,保障您的用卡安全
|
|
|
数据智能加密,保障您的用卡安全
|
|
|
</div>
|
|
|
|
|
|
<button class="apply-button" type="submit">
|
|
|
下一步
|
|
|
</button>
|
|
|
<button class="apply-button" type="submit">下一步</button>
|
|
|
</form>
|
|
|
</div> |
...
|
...
|
|