截流自动化的商城平台
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add.html 2.1KB

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  1. {layout name="layout2" /}
  2. <div class="layui-card layui-form" style="box-shadow:none;">
  3. <div class="layui-card-body">
  4. <div class="layui-form-item">
  5. <label for="name" class="layui-form-label"><span style="color:red;">*</span>提现银行:</label>
  6. <div class="layui-input-block">
  7. <input type="text" name="name" id="name" lay-verType="tips" lay-verify="required" autocomplete="off" class="layui-input">
  8. <div class="layui-form-mid layui-word-aux">填写银行名称,例如中国工商银行</div>
  9. </div>
  10. </div>
  11. <div class="layui-form-item">
  12. <label for="branch" class="layui-form-label"><span style="color:red;">*</span>银行支行:</label>
  13. <div class="layui-input-block">
  14. <input type="text" name="branch" id="branch" lay-verType="tips" lay-verify="required" autocomplete="off" class="layui-input">
  15. <div class="layui-form-mid layui-word-aux">填写银行支行,例如北京路支行</div>
  16. </div>
  17. </div>
  18. <div class="layui-form-item">
  19. <label for="nickname" class="layui-form-label"><span style="color:red;">*</span>开户名称:</label>
  20. <div class="layui-input-block">
  21. <input type="text" name="nickname" id="nickname" lay-verType="tips" lay-verify="required" autocomplete="off" class="layui-input">
  22. <div class="layui-form-mid layui-word-aux">填写开户名称,例如张三</div>
  23. </div>
  24. </div>
  25. <div class="layui-form-item">
  26. <label for="account" class="layui-form-label"><span style="color:red;">*</span>银行账号:</label>
  27. <div class="layui-input-block">
  28. <input type="text" name="account" id="account" lay-verType="tips" lay-verify="required|number" autocomplete="off" class="layui-input">
  29. <div class="layui-form-mid layui-word-aux">填写银行账号</div>
  30. </div>
  31. </div>
  32. <div class="layui-form-item layui-hide">
  33. <input type="button" lay-submit lay-filter="addSubmit" id="addSubmit" value="确认">
  34. </div>
  35. </div>
  36. </div>