dataserver_management_map_ui_sh2000/templates/feedback.html

<div class="feedbackPanel">
    <div class="bg"></div>
    <div class="content">
        <p class="close">×</p>
        <div class="title">
            联系我们
            <p class="tips"><span class="red">*</span>号为必须项，详细填写有助于我们的工作人员尽快联系您</p>
        </div>
        <table>
            <tbody>
                <tr>
                    <td>
                        <p><span class="red">*</span>反馈标题</p>
                        <input class="fk_title" type="text" maxlength="100" placeholder="例如：这是我反馈的第一条问题">
                    </td>
                    <td>
                        <p><span class="red">*</span>如何称呼您</p>
                        <input class="name" type="text" placeholder="例如：张先生/女士">
                    </td>
                </tr>
                <tr>
                    <td>
                        <p><span class="red">*</span>公司名称</p>
                        <input class="companyName" type="text" placeholder="您的机构名称">
                    </td>
                    <td>
                        <p><span class="red">*</span>联系电话</p>
                        <input class="tel" type="text" placeholder="您的联系方式">
                    </td>
                </tr>
                <tr>
                    <td>
                        <p>邮箱地址</p>
                        <input class="e-mail" type="text" placeholder="您的邮箱地址">
                    </td>
                    <td></td>
                </tr>
                <tr>
                    <td colspan="2">
                        <p><span class="red">*</span>需求/问题</p>
                        <textarea class="question" name="" id="" cols="30" rows="10" placeholder="例如：张先生/女士"></textarea>
                    </td>
                </tr>
            </tbody>
        </table>
        <button class="submit">提交</button>
    </div>
</div>