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document.write("<table border='0' cellpadding='2' cellspacing='1' style='background-color: #FBFEFF;	border: 1px solid #D2F0FF;'>");
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document.write("<td width='100' height='25' align='right' bgcolor='#F4FDFF' style='font-size:12px;color:#000099;'><span style='color: #FF0000'>*</span> 姓名:</td>");
document.write("<td colspan='3' style='font-size:12px;color:#000099;' align='left'><input name='upname' type='text' id='upname' size='20' maxlength='20' style='color: #000099;background-color: #FBFEFF;border: 1px solid #D7F2FF;' /></td>");
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document.write("<tr>");
document.write("<td height='25' align='right' bgcolor='#F4FDFF' style='font-size:12px;color:#000099;'>性别:</td>");
document.write("<td width='80' style='font-size:12px;color:#000099;' align='left'><select name='upsex' id='upsex' style='color: #000099;background-color: #FBFEFF;border: 1px solid #D7F2FF;'>");
document.write("<option value='0' selected='selected'>请选择</option>");
document.write("<option value='1'>男</option>");
document.write("<option value='2'>女</option>");
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document.write("<td width='50' align='right' bgcolor='#F4FDFF' style='font-size:12px;color:#000099;'>年龄:</td>");
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document.write("<td height='25' align='right' bgcolor='#F4FDFF' style='font-size:12px;color:#000099;'><span style='color: #FF0000'>*</span> 联系电话:</td>");
document.write("<td colspan='3' style='font-size:12px;color:#000099;' align='left'><input name='uptel' type='text' id='uptel' size='30' maxlength='50' style='color: #000099;background-color: #FBFEFF;border: 1px solid #D7F2FF;' /></td>");
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document.write("<td height='50' align='right' bgcolor='#F4FDFF' style='font-size:12px;color:#000099;'><span style='color: #FF0000'>*</span> 捐款(物)说明:</td>");
document.write("<td colspan='3' style='font-size:12px;color:#000099;' align='left'><textarea name='upcontent' cols='33' rows='5' id='upcontent' style='color: #000099;background-color: #FBFEFF;border: 1px solid #D7F2FF;'></textarea></td>");
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document.write("<td height='25' colspan='4' align='center' style='font-size:12px;color:#000099;'><input type='submit' name='button' id='button' value=' 提交 ' style='height:19px;' /></td>");
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