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<table width=500 border=0 align="center" cellpadding=0 cellspacing=0> <tr> <td valign="top"><!--START---> <script language="JavaScript"> <!-- function check_form(){ if (trim(Form1.name.value) == ""){ alert("請輸入姓名!!"); Form1.name.focus(); return false; }else if (trim(Form1.tel.value) == "" && trim(Form1.mobile.value) == ""){ alert("請輸入連絡電話或行動電話!!"); Form1.tel.focus(); return false; }else if (trim(Form1.peo.value) == ""){ alert("請輸入預約人數!!"); Form1.peo.focus(); return false; } } function trim(data){ var data; for (var begin=0; begin<data.length; begin++) if (data.charAt(begin) != " " || data.charAt(begin) != " ") break; for (var end=data.length; end>0; end--) if (data.charAt(end-1) != " " || data.charAt(end-1) != " ") break; return data.slice( begin, end ); } //--> </script> <form name="Form1" action="C_sendmail.php" method="POST" onSubmit="return check_form();"> <table width="500" border=0 cellpadding=3 cellspacing=0 > <tr> <td align="right" class="Default" nowrap valign="middle" colspan="2"><div align="center"><font size="2"> <span class="ff">*</span> <span class="ff">號為必填欄位</span></font></div></td> </tr> <tr> <td align="right" class="ff" nowrap valign="middle" width="20%" height="30"><font color="#FF0000">*</font><font color="#666666">報名課程：</font></td> <td valign="middle" height="30"><font color="#666666" size="2"> <span class="text-001"> <select name="mealTime" id="mealTime"> <option>美國PDP系統企業內部生涯發展專家訓練</option> <option>有效領導與溝通</option> <option>PB-1有效領導與激勵</option> <option>PA-1L成功領導與有效溝通</option> <option>甄選主管人才評鑑系統專業班</option> <option>有效領導管理溝通與提高產能</option> <option>有效領導與激勵</option> <option>團隊共識與有效溝通,不含PDP考核及美國認證 A課程</option> <option>團隊共識與有效溝通,不含PDP考核及美國認證A+B課程</option> <option>團隊共識與有效溝通,不含PDP考核及美國認證 A+B+C課程</option> <option>團隊共識與有效溝通,含PDP考核及美國認證(已購買PDP軟體系統)</option> <option>團隊共識與有效溝通,含PDP考核及美國認證(未購買PDP軟體系統)</option> <option selected>請選擇課程</option> </select> </span> </font></td> </tr> <tr> <td align="right" class="ff" nowrap valign="middle" width="20%" height="30"><font color="#FF0000">*</font><font color="#666666">真實姓名：</font></td> <td valign="middle" height="30"><font color="#666666" size="2"> <span class="text-001"> <input name="name" type="text" class="border" id="name" value="" size="12"> </span> </font></td> </tr> <tr> <td align="right" class="ff" nowrap valign="middle" width="20%" height="30"><font color="#FF0000">*</font><font color="#666666">性別：</font></td> <td valign="middle" height="30"><font color="#666666" size="2"><span class="text-001"> <input type="radio" name="sex" value="F" class="radio" checked> </span><span class="ff">女</span> <input type="radio" name="sex" value="M" class="radio"> <span class="ff"> 男</span></font></td> </tr> <tr> <td align="right" class="ff" nowrap valign="middle" width="20%" height="30"><font color="#FF0000">*</font><font color="#666666">生日(必填)：</font></td> <td valign="middle" height="30"><font color="#666666" size="2"> <input name="yy" type="text" id="yy" size="5" maxlength="4"> <span class="ff">年</span> <select name="mm" id="mm"> <option>1</option> <option>2</option> <option>3</option> <option>4</option> <option>5</option> <option>6</option> <option>7</option> <option>8</option> <option>9</option> <option>10</option> <option>11</option> <option>12</option> </select> <span class="ff">月</span> <select name="dd" id="dd"> <option>1</option> <option>2</option> <option>3</option> <option>4</option> <option>5</option> <option>6</option> <option>7</option> <option>8</option> <option>9</option> <option>10</option> <option>11</option> <option>12</option> <option>13</option> <option>14</option> <option>15</option> <option>16</option> <option>17</option> <option>18</option> <option>19</option> <option>20</option> <option>21</option> <option>22</option> <option>23</option> <option>24</option> <option>25</option> <option>26</option> <option>27</option> <option>28</option> <option>29</option> <option>30</option> <option>31</option> </select> <span class="ff">日</span></font></td> </tr> <tr> <td align="right" class="ff" nowrap valign="middle" width="20%" height="30"><font color="#FF0000">*</font><font color="#666666">e-mail信箱：</font></td> <td valign="middle" height="30"><font color="#666666" size="2"> <span class="text-001"> <input name="email" type="text" class="border" id="email" value="" size="30"> </span> </font></td> </tr> <tr> <td align="right" class="ff" nowrap valign="middle" width="20%" height="30"><font color="#666666">備用e-mail信箱：</font></td> <td valign="middle" height="30"><font color="#666666" size="2"> <input name="email1" type="TEXT" class="Default" id="email1" size=20 maxlength=200> </font></td> </tr> <tr> <td align="right" class="ff" nowrap valign="middle" width="20%" height="30"><font color="#FF0000">*</font><font color="#666666">身分證字號：</font></td> <td valign="middle" height="30"><font color="#666666" size="2"> <input name="id" type="TEXT" class="Default" id="id" size=10 maxlength=10> </font></td> </tr> <tr> <td width="20%" height="30" align="right" valign="middle" nowrap class="ff"><font color="#FF0000">*</font><font color="#666666">郵遞區號：</font></td> <td valign="middle" height="30"><font color="#666666" size="2"> <input name="zip" type="TEXT" class="Default" id="zip" size=5 maxlength=5> </font> <font color="#666666"><span class="ff"><font color="#FF0000" class="Default">*</font><font class="Default">住址(縣市鄉鎮區)</font> </span><font size="2"> <input name="city" type="TEXT" class="Default" id="city" size=20 maxlength=200> </font></font></td> </tr> <tr> <td align="right" class="ff" nowrap valign="middle" width="20%" height="30"><font color="#FF0000">*</font><font color="#666666">詳細住址：</font></td> <td valign="middle" height="30"><font color="#666666" size="2"> <input name="add" type="TEXT" class="Default" id="add" size=50 maxlength=200> </font></td> </tr> <tr> <td align="right" class="ff" nowrap valign="middle" width="20%" height="30"><font color="#FF0000">*</font><font color="#666666">聯絡電話(H)：</font></td> <td valign="middle" height="30"><font color="#666666" size="2"> <span class="text-001"> <input name="tel" type="text" class="border" id="tel" value="" size="14"> </span> </font></td> </tr> <tr> <td align="right" class="ff" nowrap valign="middle" width="20%" height="30"><font color="#666666">聯絡電話(O)：</font></td> <td valign="middle" height="30"><font color="#666666" size="2"> <input name="tel1" type="TEXT" class="Default" id="tel1" size=10 maxlength=200> <span class="ff"><font class="Default">分機</font></span></font> <font color="#666666" size="2"> <input name="telno" type="TEXT" class="Default" id="telno" size=5 maxlength=200> </font></td> </tr> <tr> <td width="20%" height="7" align="right" valign="middle" nowrap class="ff"><font color="#FF0000">*</font><font color="#666666">聯絡電話(M)：</font></td> <td valign="middle" height="7"><font size="2"> <span class="text-001"> <input name="mobile" type="text" class="border" id="mobile" value="" size="20"> </span></font></td> </tr> <tr> <td width="20%" height="4" align="right" valign="middle" nowrap class="ff"><font color="#666666">付款方式：</font></td> <td valign="middle" height="4"><font color="#666666" size="2"> <select name="pay" id="pay"> <option value="以現金支付">現金支付</option> <option value="使用銀行匯款">銀行匯款</option> <option value="使用支票給付">支票給付</option> <option value="未選擇" selected>請選擇付款方式</option> </select> </font></td> </tr> <tr> <td width="20%" height="0" align="right" valign="middle" nowrap class="ff"><font color="#FF0000"> </font></td> <td height="2" valign="middle"><font color="#FF0000" size="2">匯款帳戶： 戶名－成功領袖開發（股）公司 <br> 銀行名稱：彰化銀行 台北世貿分行<br> 銀行帳號：5265-0127-9923-00</font></td> </tr> <tr> <td width="20%" height="4" align="right" valign="middle" nowrap class="ff"><font color="#FF0000"> </font></td> <td height="4" valign="middle"><font color="#FF0000" size="2">支票（抬頭：成功領袖開發股份有限公司）</font></td> </tr> <tr> <td align="right" valign="middle" nowrap class="Default"><font color="#666666"><span class="ff">客戶意見：</span></font></td> <td valign="middle"><span class="text-001"> <textarea name="memo" cols="50" rows="5"></textarea> </span></td> </tr> </table> <p align="center"><span class="text-001"> <input type="submit" name="Submit1" value="送出"> <input type="reset" name="Submit32" value="清除"> </span> </p> </form> <!--END---> </td> </tr> <tr> <td valign="top" class="ff"><hr size="1"> <div align="center"> <font size="2" color="#FF0000"> <font color="#003399">歡迎與我們聯絡 ！</font></font> <p><font color="#003399">另有「企業內訓」與「代訓企業內部全球PDP系統認證班組織生涯規劃師」<br> PDP全套及系統，可免費示範DEMO </font></p> <p><font color="#003399">台北市110信義區基隆路一段344號3樓<br> <br> </font><font size="2"><a href="mailto:marie.pdp@msa.hinet.net"><img src="img/mail.gif" width="31" height="15" border="0" align="absmiddle"></a></font><font color="#003399"> 請先Email:marie.pdp@msa.hinet.net 我們會在最快時間內回覆 <br> <br> FAX: 886-2-2723-7717</font><br> <br> <font size="2"></font> </p> </div></td> </tr> </table>
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士加股份有限公司 SIJIA TRADING CO.,LTD
