{include file='lib/header.html'}

  <form action="index.php?m=shopcar&a=orderphone_db&edi={$smarty.get.edi}" method="post">
  <input type="hidden" name="formhash" value="{$formhash}" /><input name="id" type="hidden" id="id" value="{$id}" />
  <h2>请完善您的配送信息！</h2>
  <table  class="table">

  <tr>
    <td class="span2" align="right">姓名：</td>
    <td class="span10"><input name="orderuser" type="text" id="orderuser" value="{$user.nickname}"  class="h30"/></td>
  </tr>
  <tr>
    <td   height="30" align="right">联系电话：</td>
    <td  ><input name="orderphone" type="text" id="orderphone" value="{$user.phone}"  class="h30"/></td>
  </tr>
  <tr>
    <td height="30" align="right">配送区域：</td>
    <td><select name="sendarea1" id="ajax_sendarea1" style="width:100px">
    <option value="0">选择区域</option>
    {foreach item=t from=$areas}
    <option value="{$t.catid}">{$t.cname}</option>
    {/foreach}
    
    </select>
    
      <select name="sendarea2" id="ajax_sendarea2" style="visibility:hidden; width:100px;">
      <option value="0">请选择</option>
      </select>
      (可不选择)</td>
  </tr>
  <tr>
    <td height="30" align="right">配送地址：</td>
    <td><input name="orderaddress" type="text" id="orderaddress" value="{$user.address}" class="h30"/></td>
  </tr>
  <tr>
    <td height="30" align="right">支付方式：</td>
    <td>
       <input name="isbonus" type="radio" id="radio" value="0" checked="checked" /> 货到付款 
     {if $isbonus}
      <input type="radio" name="isbonus" id="radio2" value="1" />  余额支付 
      

      {/if}
</td>
  </tr>
  <tr>
    <td height="30" align="right">附加信息：</td>
    <td><label for="orderinfo"></label>
      <textarea name="orderinfo" id="orderinfo" style="width:400px; height:100px;"></textarea></td>
  </tr>
  <tr>
    <td height="30" align="right">&nbsp;</td>
    <td><input type="submit" name="button" id="button" value="确定" class="btn" /></td>
  </tr>
  </table>

  </form>



{include file='lib/footer.html'}