<link rel="stylesheet" type="text/css" href="/static/theme/workflow/8/style/css/flzx.css" />
<div class="container">
<div class="form_body">
<div class="form_body_1">
<div class="head_er">客户投诉登记表</div>
<div class="cent_er_1" style="margin: 0px auto; width: 628px">
<div class="form_row" style="overflow: visible">
<div class="text_li" style="width: 263px; height: 68px"><span class="text_gray" style="width: 100px">投诉种类</span>
<div class="input_text" style="width: 263px"><span class="text_stlye1" style="width: 263px"><span class="text_stlye11" style="width: 258px"><select title="投诉种类" style="margin-top: 4px; width: 200px; border:none;" name="DATA_2">  <option value="服务类" selected="selected">服务类</option>  <option value="质量类">质量类</option>  </select></span></span></div>
</div>
<div class="text_li" style="width: 263px; height: 68px; margin-left: 96px"><span class="text_gray" style="width: 100px">日期：</span>
<div class="input_text" style="width: 260px"><span class="text_stlye1" style="width: 260px"><span class="text_stlye11" style="width: 258px"><input class="text_stlye" title="制表日期" datafld="SYS_DATE" size="18" hidden="0" style="width: 141px; font-size: 13px" name="DATA_4" value="{MACRO}" type="text" /></span></span></div>
</div>
</div>
<div class="form_row" style="overflow: visible">
<div class="text_li" style="width: 263px; height: 68px"><span class="text_gray" style="width: 100px">投诉客户名称</span>
<div class="input_text" style="width: 263px"><span class="text_stlye1" style="width: 263px"><span class="text_stlye11" style="width: 258px"><input class="text_stlye" title="投诉客户名称" align="left" size="23" hidden="0" style="text-align: left; width: 176px; height: 24px; font-size: 13px" name="DATA_5" type="text" /></span></span></div>
</div>
<div class="text_li" style="width: 263px; margin-left: 96px"><span class="text_gray" style="width: 100px">电 话</span>
<div class="input_text" style="width: 263px"><span class="text_stlye1" style="width: 263px"><span class="text_stlye11" style="width: 258px"><input class="text_stlye" title="电话" maxlength="11" align="left" size="26" hidden="0" style="text-align: left; width: 208px; height: 23px; font-size: 13px" name="DATA_6" type="text" /></span></span></div>
</div>
</div>
<div class="form_row form_textarea">
<div class="text_li" style="width: 628px"><span class="textarea_gray" style="margin-top: 0px; width: 100px">客户地址</span>
<div class="textarea_6" style="width: 625px; height: 80px">
<div class="textarea_top">
<div class="textarea_61">&#160;</div>
<div class="textarea_62">&#160;</div>
</div>
<div class="textarea_a"><textarea class="textarea_stlye" title="客户地址" cols="54" rich="0" style="width: 584px; height: 45px; font-size: 13px" name="DATA_7"></textarea></div>
<div class="textarea_bottom">
<div class="textarea_63">&#160;</div>
<div class="textarea_64">&#160;</div>
</div>
</div>
</div>
</div>
<div class="form_row" style="overflow: visible">
<div class="text_li" style="width: 263px"><span class="text_gray" style="width: 100px">受理日期</span>
<div class="input_text" style="width: 263px"><span class="text_stlye1" style="width: 263px"><span class="text_stlye11" style="width: 258px"><input class="text_stlye" title="受理日期" datafld="SYS_DATE" size="12" hidden="0" style="width: 108px; height: 23px; font-size: 13px" name="DATA_8" value="{MACRO}" type="text" /><img class="DATE" title="日期控件:受理日期" border="0" name="OTHER_1" alt="" align="absMiddle" date_format="yyyy-MM-dd" value="受理日期" style="margin-top: 2px; margin-left: 120px; cursor: hand" src="/module/html_editor/editor/images/calendar.gif" /></span></span></div>
</div>
<div class="text_li" style="width: 263px; margin-left: 96px"><span class="text_gray" style="width: 100px">受理编号</span>
<div class="input_text" style="width: 263px"><span class="text_stlye1" style="width: 263px"><span class="text_stlye11" style="width: 258px"><input class="text_stlye" title="受理编号" align="left" size="27" hidden="0" style="text-align: left; width: 212px; height: 26px; font-size: 13px" name="DATA_9" type="text" /></span></span></div>
</div>
</div>
<div class="form_row form_textarea">
<div class="text_li" style="width: 628px"><span class="textarea_gray" style="margin-top: 0px; width: 100px">客户要求</span>
<div class="textarea_6" style="width: 624px; height: 87px">
<div class="textarea_top">
<div class="textarea_61">&#160;</div>
<div class="textarea_62">&#160;</div>
</div>
<div class="textarea_a"><textarea class="textarea_stlye" title="客户要求" cols="54" rich="0" style="width: 584px; height: 75px; font-size: 13px" name="DATA_10"></textarea></div>
<div class="textarea_bottom">
<div class="textarea_63">&#160;</div>
<div class="textarea_64">&#160;</div>
</div>
</div>
</div>
</div>
<div class="group" align="center"><span class="text_gray" style="width: 100px">受理单位意见</span>
<div class="form_row form_textarea">
<div class="text_li" style="width: 628px"><span class="textarea_gray" style="margin-top: 0px; width: 100px">接待单位</span>
<div class="textarea_6" style="width: 626px; height: 80px">
<div class="textarea_top">
<div class="textarea_61">&#160;</div>
<div class="textarea_62">&#160;</div>
</div>
<div class="textarea_a"><textarea class="textarea_stlye" title="接待单位意见" cols="53" rich="0" style="width: 584px; height: 55px; font-size: 13px" name="DATA_11"></textarea></div>
<div class="textarea_bottom">
<div class="textarea_63">&#160;</div>
<div class="textarea_64">&#160;</div>
</div>
</div>
</div>
<div class="input_text" style="margin-top: 10px; width: 185px; float: right"><span class="text_stlye1" style="width: 170px"><span class="text_stlye11"><input class="text_stlye" title="接待单位签字" datafld="SYS_USERNAME_DATE" hidden="0" style="font-size: 13px" name="DATA_12" value="{MACRO}" type="text" /></span></span></div>
</div>
<div class="form_row form_textarea">
<div class="text_li" style="width: 630px"><span class="textarea_gray" style="margin-top: 0px; width: 100px">处理单位</span>
<div class="textarea_6" style="width: 626px; height: 80px">
<div class="textarea_top">
<div class="textarea_61">&#160;</div>
<div class="textarea_62">&#160;</div>
</div>
<div class="textarea_a"><textarea class="textarea_stlye" title="处理单位意见" cols="54" rich="0" style="width: 584px; height: 55px; font-size: 13px" name="DATA_13"></textarea></div>
<div class="textarea_bottom">
<div class="textarea_63">&#160;</div>
<div class="textarea_64">&#160;</div>
</div>
</div>
</div>
<div class="input_text" style="margin-top: 10px; width: 185px; float: right"><span class="text_stlye1" style="width: 170px"><span class="text_stlye11"><input class="text_stlye" title="处理单位签字" datafld="SYS_USERNAME_DATE" hidden="0" style="font-size: 13px" name="DATA_14" value="{MACRO}" type="text" /></span></span></div>
</div>
<div class="form_row form_textarea">
<div class="text_li" style="width: 628px"><span class="textarea_gray" style="margin-top: 0px; width: 100px">营业单位</span>
<div class="textarea_6" style="width: 626px; height: 80px">
<div class="textarea_top">
<div class="textarea_61">&#160;</div>
<div class="textarea_62">&#160;</div>
</div>
<div class="textarea_a"><textarea class="textarea_stlye" title="营运单位意见" cols="54" rich="0" style="width: 501px; height: 55px; font-size: 13px" name="DATA_15"></textarea></div>
<div class="textarea_bottom">
<div class="textarea_63">&#160;</div>
<div class="textarea_64">&#160;</div>
</div>
</div>
</div>
</div>
<div class="input_text" style="margin-top: 10px; width: 185px; float: right"><span class="text_stlye1" style="width: 170px"><span class="text_stlye11"><input class="text_stlye" title="营运单位签字" datafld="SYS_USERNAME_DATE" hidden="0" style="font-size: 13px" name="DATA_16" value="{MACRO}" type="text" /></span></span></div>
</div>
<div class="form_row form_textarea">
<div class="text_li" style="width: 626px"><span class="textarea_gray" style="margin-top: 0px; width: 100px">其 他</span>
<div class="textarea_6" style="width: 626px; height: 87px">
<div class="textarea_top">
<div class="textarea_61">&#160;</div>
<div class="textarea_62">&#160;</div>
</div>
<div class="textarea_a"><textarea class="textarea_stlye" title="其他" cols="53" rich="0" style="width: 584px; height: 75px; font-size: 13px" name="DATA_17"></textarea></div>
<div class="textarea_bottom">
<div class="textarea_63">&#160;</div>
<div class="textarea_64">&#160;</div>
</div>
</div>
</div>
</div>
<div class="form_row" style="overflow: visible">
<div class="text_li" style="width: 200px"><span class="text_gray" style="width: 100px">制表人：</span>
<div class="input_text" style="width: 200px"><span class="text_stlye1" style="width: 190px"><span class="text_stlye11" style="width: 185px"><input class="text_stlye" title="制表人签字" datafld="SYS_USERNAME_DATE" align="left" size="17" hidden="0" style="text-align: left; width: 146px; font-size: 13px" name="DATA_18" value="{MACRO}" type="text" /></span></span></div>
</div>
<div class="text_li" style="width: 200px; margin-left: 10px"><span class="text_gray" style="width: 100px">主管：</span>
<div class="input_text" style="width: 200px"><span class="text_stlye1" style="width: 190px"><span class="text_stlye11" style="width: 185px"><input class="text_stlye" title="主管签字" datafld="SYS_USERNAME_DATE" size="14" hidden="0" style="width: 138px; font-size: 13px" name="DATA_19" value="{MACRO}" type="text" /></span></span></div>
</div>
<div class="text_li" style="width: 200px; margin-left: 10px"><span class="text_gray" style="width: 100px">经理：</span>
<div class="input_text" style="width: 200px"><span class="text_stlye1" style="width: 198px"><span class="text_stlye11" style="width: 195px"><input class="text_stlye" title="经理签字" datafld="SYS_USERNAME_DATE" size="16" hidden="0" style="width: 151px; font-size: 13px" name="DATA_20" value="{MACRO}" type="text" /></span></span></div>
</div>
<div class="textarea_bottom" style="border-bottom: #cccccc 1px solid; margin-top: 5px">&#160;</div>
<div class="textarea_bottom" style="margin-top: 5px">&#160;</div>
</div>
</div>
</div>
</div>
</div>