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89 90<link rel="stylesheet" type="text/css" href="../captcha/style.css?v=27" /> 91</head> 92 93<body class="remit_page"> 94 95<div id="page"> 96 97 98 99 100<header class="header_area"> 101 <div class="main_header_area animated"> 102 <div class="container"> 103 <nav id="navigation1" class="navigation"> 104 105 <div class="nav-header"> 106 <a class="nav-brand" href="https://www.dachuan.com.tw"><img src="https://www.workband.com.tw/store_image/dachuan/G177866004125.webp" alt="大è¹å ¥æ¸¯ï½æ°´ç¢åº,æµ·é®®å® é ,å°ä¸æ°´ç¢åº,梧棲水ç¢åº"/><h1>大è¹å ¥æ¸¯ï½æ°´ç¢åº,æµ·é®®å® é ,å°ä¸æ°´ç¢åº,梧棲水ç¢åº</h1></a> 107 </div> 108 109 <div class="me_tp_features"> 110 <div class="box_search"> 111 <form method="get" action="https://www.dachuan.com.tw/products/index.php" id="hs_search"> 112 <input type="text" name="keyword" id="keyword" value="" placeholder="ç¢åå稱" class="shop_search_txt"> 113 <input type="submit" value="æå°" class="shop_search_btn"> 114 </form> 115 </div> 116 117 <a class="tp_btn_cart" href="https://www.dachuan.com.tw/products/car.php?title_id=18992"><i class="fa-solid fa-cart-shopping"></i><span><span>è³¼ç©è»</span><b>0</b></span></a> 118 <a class="tp_btn_notice" href="https://www.dachuan.com.tw/paper/remit_index.php"><i class="far fa-credit-card"></i><span>å¯æ¬¾éç¥</span></a> 119 <div class="tp_links"> 120 <a target="_blank" class="me_tp_fb" href="https://www.facebook.com/Big.ship.entering.port"><i class="fa-brands fa-facebook"></i></a> <a target="_blank" class="me_tp_line" href="https://line.me/ti/p/@dachuan"><i class="fa-brands fa-line"></i></a> <a target="_blank" class="me_tp_call" href="tel:04-2658-0088"><i class="fa-solid fa-phone-volume"></i></a> <a target="_blank" class="me_tp_mail" href="mailto:[email protected]"><i class="far fa-envelope"></i></a> </div><!--tp_links--> 121 122 <div class="tp_lang"> 123 </div><!--tp_links--> 124 125 </div><!--me_tp_features--> 126 127 <div class="stellarnav"> 128 <ul class="anchorList"> 129 <li > 130 <a href="https://www.dachuan.com.tw" > 131 éæ¼æå </a> 132 </li> 133 <li > 134 <a href="https://www.dachuan.com.tw/news/index.php" > 135 ææ°æ¶æ¯ </a> 136 <ul class="news_classes"> 137 <li><a href="https://www.dachuan.com.tw/news/index.php?gid=11387">常è¦åé¡</a> 138 </li> 139 </ul> 140 </li> 141 <li > 142 <a href="https://www.dachuan.com.tw/paper/other_page.php?id=18991" > 143 è³¼ç©é ç¥ </a> 144 </li> 145 <li > 146 <a href="https://www.dachuan.com.tw/products/index.php" > 147 ååé¸è³¼ </a> 148 <ul class="prod_classes"> 149 <li><a href="https://www.dachuan.com.tw/products/index.php?gid=10373">æ¬æ¸¯ç¾æµæµ·ç¢</a> 150 </li> 151 <li><a href="https://www.dachuan.com.tw/products/index.php?gid=10372">éççéå</a> 152 </li> 153 <li><a href="https://www.dachuan.com.tw/products/index.php?gid=10403">å·å調çé£å</a> 154 </li> 155 </ul> 156 </li> 157 <li > 158 <a href="https://www.dachuan.com.tw/paper/contact_index.php" > 159 è¯çµ¡æå </a> 160 </li> 161 162 163 </ul> 164 </div><!-- .stellarnav --> 165 166 </nav><!--navigation--> 167 </div> 168 </div> 169</header> 170 171 172<div id="content"> 173 <div class="banner banD"> 174 <h5>å¯æ¬¾éç¥</h5> 175 </div><!-- banner --> 176 <div class="main_part"> 177 <div class="path"> 178 <p><a href="../index.php">é¦é </a> > å¯æ¬¾éç¥</p> 179 </div><!-- path --> 180 <form action="pro_edit.php" method="post" name="send_form" class="style1" onsubmit="return SendPrice()"> 181 <input type="hidden" name="tpl" value="=U2YpJHcfRXZwVmc498">
182 <div class="form_content"> 183 184 185 <h4 class="separate_title">å¯æ¬¾éç¥<span class="note red"><span class="star">*</span>çºå¿ å¡«æ¬ä½</span></h4> 186 187 <ul class="formbox_form form"> 188 <li> 189 <div class="form__label"><span class="star red">*</span>è¨å®ç·¨è</div> 190 <div class="form__insert"><input type="text" name="order_num" id="order_num" class="border200"></div> 191 </li> 192 <li> 193 <div class="form__label"><span class="star red">*</span>帳èæ«äºç¢¼</div> 194 <div class="form__insert"><input type="text" name="account_id" id="account_id" class="border200"></div> 195 </li> 196 <li> 197 <div class="form__label"><span class="star red">*</span>å¯æ¬¾éé¡</div> 198 <div class="form__insert"><input type="text" name="price" id="price" class="border200"></div> 199 </li> 200 <li> 201 <div class="form__label"><span class="star red">*</span>å¯æ¬¾æ¥æ</div> 202 <div class="form__insert"><input type="text" name="pay_date" id="pay_date" class="border200"></div> 203 </li> 204 <li> 205 <div class="form__label"><span class="star red">*</span>å¯æ¬¾è å§å</div> 206 <div class="form__insert"><input type="text" name="name" id="name" class="border200"></div> 207 </li> 208 <li> 209 <div class="form__label"><span class="star red">*</span>å¯æ¬¾è é»è©±</div> 210 <div class="form__insert"><input type="text" name="tel" id="tel" class="border200"></div> 211 </li> 212 <li> 213 <div class="form__label"><span class="star"> </span>E-mail</div> 214 <div class="form__insert"><input type="text" name="mail" id="mail" class="border200"></div> 215 </li> 216 <li> 217 <div class="form__label"><span class="star"> </span>å註</div> 218 <div class="form__insert"><textarea name="ps" id="ps" rows="2" class="border200 longer"></textarea> 219 </div> 220 </li> 221 <li class="checknumBox"> 222 <div class="form__label"><span class="star red">*</span>é©è碼</div> 223 <div class="form__insert"><div class="tncode"></div></div> 224 </li> 225 <li class="last"> 226 <input type="reset" value="éæ°å¡«å¯«" class="rewrite_simple"> 227 <input type="submit" value="éåºè³æ" class="send_simple"> 228 </li> 229 </ul> 230 231 </div><!-- form_content --> 232 </form> 233 </div><!-- main_part --> 234</div><!-- #content --> 235 236 237 238 239<a id="to_top" class="to_top" href=""><i class='top'></i>TOP</a> 240 241 242<!-- ******************************** --> 243<!-- æè³¼ç©è» å ä¸ä¸æ¹ id#bottom_menu --> 244<ul id="bottom_menu" class="clearfix with_shopping_mode"> 245 <li><a href="https://www.dachuan.com.tw"><i class="fa-solid fa-house"></i><em>åé¦é </em></a></li> 246 <li><a href="https://www.dachuan.com.tw/paper/remit_index.php"><i class="fa-solid fa-credit-card"></i><em>å¯æ¬¾éç¥</em></a></li> 247 <li><a href="https://www.dachuan.com.tw/products/car.php"><i class="fa-solid fa-cart-shopping"></i><em><span>è³¼ç©è»</span>(0)</em></a></li> 248 </ul> 249 250 251 252<!-- ******************************** --> 253<!-- æè³¼ç©è» é¡å¤å ä¸with_shopping_mode --> 254<footer class="footer with_shopping_mode"><!-- æè³¼ç©è» å ä¸with_shopping_mode --> 255 <div class="center"> 256 <div class="footer_info"> 257 258 <div class="footer_logo"> 259 <a href="https://www.dachuan.com.tw"><img src="https://www.workband.com.tw/store_image/dachuan/G177866004125.webp" alt="大è¹å ¥æ¸¯ï½æ°´ç¢åº,æµ·é®®å® é ,å°ä¸æ°´ç¢åº,梧棲水ç¢åº" /></a> 260 </div><!-- footer_logo --> 261 262 <div class="box_link"> 263 <a target="_blank" class="me_tp_fb" href="https://www.facebook.com/Big.ship.entering.port"><i class="fa-brands fa-facebook-f"></i></a> <a target="_blank" class="me_tp_line" href="https://line.me/ti/p/@dachuan"><i class="fa-brands fa-line"></i></a> <a target="_blank" class="me_tp_call" href="tel:04-2658-0088"><i class="fa-solid fa-phone-volume"></i></a> <a target="_blank" class="me_tp_mail" href="mailto:[email protected]"><i class="fa-regular fa-envelope"></i></a> </div> 264 265 <ul> 266 <li> 267 <p class="line"><a target="_blank" href="https://line.me/ti/p/@dachuan">@dachuan</a></p> <p class="tel">
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