{"id":492,"date":"2024-06-21T12:23:40","date_gmt":"2024-06-21T12:23:40","guid":{"rendered":"https:\/\/eggalliance.com\/?page_id=492"},"modified":"2024-06-21T13:35:12","modified_gmt":"2024-06-21T13:35:12","slug":"formod-t-pm","status":"publish","type":"page","link":"https:\/\/eggalliance.com\/?page_id=492","title":{"rendered":"FormOD-T PM"},"content":{"rendered":"<div class=\"wp-block-uagb-container uagb-block-31fe25c5 alignfull uagb-is-root-container\"><div class=\"uagb-container-inner-blocks-wrap\"><div class=\"wp-block-uagb-container uagb-block-df7e3c33\"><p>\u6350\u51fa\u4f60\u7684\u611b\u5fc3\uff0c\u7372\u5f97\u65b0\u53f0\u5e63$1000\uff01<br>\u53c3\u52a0\u6350\u8edf\u6d3b\u52d5\uff0c\u5e6b\u52a9\u66f4\u591a\u4eba\uff0c\u540c\u6642\u7372\u5f97\u8c50\u539a\u734e\u91d1\u3002<\/p><\/div>\n\n<div class=\"wp-block-uagb-container uagb-block-09407e17\"><p>EGA \u512a\u8cea\u6350\u5375\u806f\u76df \uff0c&#8221;\u7acb\u5373\u8a3b\u518a&#8221;\u3001&#8221;\u4e86\u89e3\u66f4\u591a&#8221;<\/p><\/div>\n\n<p><\/p><\/div><\/div><div class=\"wp-block-uagb-container uagb-block-03095345 alignfull uagb-is-root-container\"><div class=\"uagb-container-inner-blocks-wrap\"><div class=\"wp-block-uagb-container uagb-block-718327c0\"><p><strong>\u6d3b\u52d5\u8a73\u60c5<\/strong> : <strong>\u81fa\u7063\u6d3b\u52d5<\/strong><\/p>\n\n<ul><li>\u6d3b\u52d5\u4ecb\u7d39<\/li>\n\n<li>\u6d3b\u52d5\u6642\u9593\uff08\u4e03\u6708\u5230\u5341\u4e8c\u6708\uff0c\u984d\u6eff\u70ba\u6b62\uff09<\/li>\n\n<li>\u734e\u91d1\u8a3b\u518a\u91d1\u8a73\u60c5\uff1a<br>\u8a3b\u518a\u6210\u7acb\u91d1    &#8211;  \u65b0\u53f0\u5e63$1000<br>\u7d05\u5305\u62bd\u734e\u6d3b\u52d5 &#8211; \u6700\u9ad8 \u65b0\u53f0\u5e63$10000<\/li>\n\n<li>\u7c3d\u7d04\u6d41\u7a0b\uff08\u7c21\u55ae\u7684\u6b65\u9a5f\u5716\u6216\u8aaa\u660e\uff09<\/li><\/ul><\/div>\n\n<div class=\"wp-block-uagb-container uagb-block-aee4a1e7\"><p><strong>\u5982\u4f55\u53c3\u8207<\/strong><br>\u6350\u5375\u689d\u4ef6\uff1a<\/p>\n\n<ul><li>\u5973\u6027\u5e74\u6eff20\u6b72\uff0c\u6700\u597d30\u6b72\u4ee5\u4e0b\u3002<\/li>\n\n<li>\u8eab\u9ad8\uff1a155\u516c\u5206\u4ee5\u4e0a\u3002BMI\u503c18~24\u3002<\/li>\n\n<li>\u586b\u5beb\u884c\u653f\u9662\u885b\u751f\u7f72\u570b\u6c11\u5065\u5eb7\u5c40\u4e4b\u5065\u5eb7\u8a55\u4f30\u8868\u3002<\/li>\n\n<li>\u62bd\u8840\u6aa2\u6e2c\u5305\u62ec\uff1a\u8840\u578b\u3001RH\u3001\u5375\u5de2\u529f\u80fd\u6307\u6578(AMH:3\u4ee5\u4e0a)\u3001B\u578b\u809d\u708e\u3001C\u578b\u809d\u708e\u3001\u611b\u6ecb\u75c5\u3001\u6885\u6bd2\u3001\u5730\u4e2d\u6d77\u578b\u8ca7\u8840\u3001\u8840\u7cd6(\u98ef\u524d\u3001\u98ef\u5f8c)\u3002<br>\u9670\u9053\u57f9\u990a\uff1a\u6dcb\u75c5\u3001\u62ab\u8863\u83cc\u3001\u5b50\u5bae\u9838\u62b9\u7247\u6aa2\u67e5\u3002<br><\/li>\n\n<li>\u6350\u5375\u6b65\u9a5f\uff08\u8a73\u7d30\u8aaa\u660e\u6bcf\u500b\u6b65\u9a5f\uff09<\/li>\n\n<li>\u6ce8\u610f\u4e8b\u9805<\/li><\/ul><\/div>\n\n<p>\u6350\u5375\u76f8\u95dc\u7684\u5e38\u898b\u554f\u984c\u89e3\u7b54<br><br><br>___ \u5176\u4ed6 \u57fa\u672c\u8981\u6c42 ___<br>1. \u4e0d\u5f97\u6709\u4efb\u4f55\u6027\u75c5\u3002<br>2. \u6700\u597d\u4e0d\u5438\u7159\u8005\u3002<br>3. \u4e0d\u80fd\u4f7f\u7528\u6bd2\u54c1\u3002<br>4. \u5fc3\u7406\u5065\u5eb7\uff0c\u4e14\u6700\u8fd1\u4e0d\u4f7f\u7528\u6297\u6291\u9b31\u85e5\u6216\u93ae\u975c\u5291\u3002<br>5. \u6700\u8fd16\u500b\u6708\u5167\u6c92\u6709\u7d0b\u8eab\u6216\u9ad4\u98fe\u7a7f\u6d1e\u3002<br>6. \u5728\u904e\u53bb\u7684\u5e7e\u500b\u6708\u4e2d\uff0c\u60a8\u4e0d\u80fd\u7528Depo-provera\u3001Nor-Plant\u3001\u8377\u723e\u8499\u5b50\u5bae\u5167\u907f\u5b55\u5668\u3001\u6216\u751f\u5b69\u5b50\u3002<br>6. \u60a8\u5fc5\u9808\u662f\u4e00\u500b\u53ef\u9760\u7684\u4eba\uff0c\u4e26\u627f\u8afe\u80fd\u5b8c\u6210\u7642\u7a0b\u3002<br>7. \u5f9e\u672a\u88ab\u5b9a\u7f6a\u3002<br>8. \u9858\u610f\u63a5\u53d7\u91ab\u5b78\u548c\u5fc3\u7406\u8a55\u4f30\u3002<\/p><\/div><\/div><div class=\"wpforms-container wpforms-container-full wpforms-block wpforms-block-bc2e5de0-7710-4186-8452-c2655caeaf77 wpforms-render-modern\" id=\"wpforms-78\"><form id=\"wpforms-form-78\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"78\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F492&#038;wpforms_form_id=78\" data-token=\"41162600badea15ab692398de36325fb\" data-token-time=\"1792452103\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">Please enable JavaScript in your browser to complete this form.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-78-field_1-container\" class=\"wpforms-field wpforms-field-name\" data-field-type=\"name\" data-field-id=\"1\"><fieldset><legend class=\"wpforms-field-label\">\u59d3\u540d <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-78-field_1\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][1][first]\" aria-errormessage=\"wpforms-78-field_1-error\" required><label for=\"wpforms-78-field_1\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-78-field_1-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][1][last]\" aria-errormessage=\"wpforms-78-field_1-last-error\" required><label for=\"wpforms-78-field_1-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-78-field_27-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"27\"><label class=\"wpforms-field-label\" for=\"wpforms-78-field_27\">\u751f\u65e5 (\u6708 \/ \u65e5\uff09<\/label><input type=\"text\" id=\"wpforms-78-field_27\" class=\"wpforms-field-medium\" name=\"wpforms[fields][27]\" aria-errormessage=\"wpforms-78-field_27-error\" ><\/div><div id=\"wpforms-78-field_41-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"41\"><label class=\"wpforms-field-label\" for=\"wpforms-78-field_41\">\u751f\u65e5  (\u5e74)<\/label><input type=\"text\" id=\"wpforms-78-field_41\" class=\"wpforms-field-medium\" name=\"wpforms[fields][41]\" aria-errormessage=\"wpforms-78-field_41-error\" aria-describedby=\"wpforms-78-field_41-description\" ><div id=\"wpforms-78-field_41-description\" class=\"wpforms-field-description\">19?? ~20??<\/div><\/div><div id=\"wpforms-78-field_3-container\" class=\"wpforms-field wpforms-field-email\" data-field-type=\"email\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-78-field_3\">Email \u96fb\u5b50\u90f5\u4ef6 <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-78-field_3\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][3]\" spellcheck=\"false\" aria-errormessage=\"wpforms-78-field_3-error\" required><\/div><div id=\"wpforms-78-field_28-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"28\"><label class=\"wpforms-field-label\" for=\"wpforms-78-field_28\">\u96fb\u8a71\u865f\u78bc<\/label><input type=\"text\" id=\"wpforms-78-field_28\" class=\"wpforms-field-medium\" name=\"wpforms[fields][28]\" aria-errormessage=\"wpforms-78-field_28-error\" ><\/div><div id=\"wpforms-78-field_50-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"50\"><label class=\"wpforms-field-label\" for=\"wpforms-78-field_50\">\u51fa\u751f\u5730<\/label><input type=\"text\" id=\"wpforms-78-field_50\" class=\"wpforms-field-medium\" name=\"wpforms[fields][50]\" aria-errormessage=\"wpforms-78-field_50-error\" ><\/div><div id=\"wpforms-78-field_51-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"51\"><label class=\"wpforms-field-label\" for=\"wpforms-78-field_51\">\u60a8\u662f\u7f8e\u570b\u516c\u6c11\u6216\u6c38\u4e45\u7da0\u5361\u64c1\u6709\u8005\u55ce\uff1f<\/label><select id=\"wpforms-78-field_51\" class=\"wpforms-field-medium\" name=\"wpforms[fields][51]\"><option value=\"\u5426\"  class=\"choice-2 depth-1\"  >\u5426<\/option><option value=\"\u662f\"  class=\"choice-1 depth-1\"  >\u662f<\/option><\/select><\/div><div id=\"wpforms-78-field_52-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"52\"><label class=\"wpforms-field-label\" for=\"wpforms-78-field_52\">\u60a8\u662f\u88ab\u6536\u990a\u7684\u55ce\uff1f<\/label><select id=\"wpforms-78-field_52\" class=\"wpforms-field-medium\" name=\"wpforms[fields][52]\"><option value=\"No\"  class=\"choice-2 depth-1\"  >No<\/option><option value=\"Yes\"  class=\"choice-1 depth-1\"  >Yes<\/option><\/select><\/div><div id=\"wpforms-78-field_63-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"63\"><label class=\"wpforms-field-label\" for=\"wpforms-78-field_63\">\u7a2e\u65cf<\/label><select id=\"wpforms-78-field_63\" class=\"wpforms-field-medium\" name=\"wpforms[fields][63]\"><option value=\"\u4e9e\u88d4\u53f0\u7063\u4eba\"  class=\"choice-2 depth-1\"  >\u4e9e\u88d4\u53f0\u7063\u4eba<\/option><option value=\"\u4e9e\u88d4\u65e5\u672c\u4eba\"  class=\"choice-1 depth-1\"  >\u4e9e\u88d4\u65e5\u672c\u4eba<\/option><option value=\"\u4e9e\u88d4\u97d3\u570b\u4eba\"  class=\"choice-3 depth-1\"  >\u4e9e\u88d4\u97d3\u570b\u4eba<\/option><option value=\"\u4e9e\u88d4\"  class=\"choice-4 depth-1\"  >\u4e9e\u88d4<\/option><option value=\"\u5927\u6d0b\u6d32\u4eba\"  class=\"choice-10 depth-1\"  >\u5927\u6d0b\u6d32\u4eba<\/option><option value=\"\u767d\u4eba\"  class=\"choice-5 depth-1\"  >\u767d\u4eba<\/option><option value=\"\u62c9\u4e01\u88d4\"  class=\"choice-8 depth-1\"  >\u62c9\u4e01\u88d4<\/option><option value=\"\u9ed1\u4eba\"  class=\"choice-9 depth-1\"  >\u9ed1\u4eba<\/option><option value=\"\u975e\u88d4\"  class=\"choice-6 depth-1\"  >\u975e\u88d4<\/option><option value=\"\u5176\u4ed6\"  class=\"choice-7 depth-1\"  >\u5176\u4ed6<\/option><\/select><\/div><div id=\"wpforms-78-field_7-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-78-field_7\">\u8eab\u9ad8  (cm \/ feet, inches)<\/label><input type=\"text\" id=\"wpforms-78-field_7\" class=\"wpforms-field-medium\" name=\"wpforms[fields][7]\" aria-errormessage=\"wpforms-78-field_7-error\" ><\/div><div id=\"wpforms-78-field_11-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-78-field_11\">\u9ad4\u91cd (Kg\/Pounds)<\/label><input type=\"text\" id=\"wpforms-78-field_11\" class=\"wpforms-field-medium\" name=\"wpforms[fields][11]\" aria-errormessage=\"wpforms-78-field_11-error\" ><\/div><div id=\"wpforms-78-field_31-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"31\"><label class=\"wpforms-field-label\" for=\"wpforms-78-field_31\">ABO \u8840\u578b<\/label><select id=\"wpforms-78-field_31\" class=\"wpforms-field-medium\" name=\"wpforms[fields][31]\"><option value=\"A\"  class=\"choice-1 depth-1\"  >A<\/option><option value=\"B\"  class=\"choice-2 depth-1\"  >B<\/option><option value=\"AB\"  class=\"choice-3 depth-1\"  >AB<\/option><option value=\"O\"  class=\"choice-4 depth-1\"  >O<\/option><option value=\"\u4e0d\u77e5\"  class=\"choice-5 depth-1\"  >\u4e0d\u77e5<\/option><\/select><div id=\"wpforms-78-field_31-description\" class=\"wpforms-field-description\">A B AB O \u4e0d\u77e5\r\n<\/div><\/div><div id=\"wpforms-78-field_32-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"32\"><label class=\"wpforms-field-label\" for=\"wpforms-78-field_32\">Rh \u8840\u578b<\/label><select id=\"wpforms-78-field_32\" class=\"wpforms-field-medium\" name=\"wpforms[fields][32]\"><option value=\"\u967d\u6027\"  class=\"choice-1 depth-1\"  >\u967d\u6027<\/option><option value=\"\u9670\u6027\"  class=\"choice-2 depth-1\"  >\u9670\u6027<\/option><option value=\"\u4e0d\u77e5\"  class=\"choice-5 depth-1\"  >\u4e0d\u77e5<\/option><\/select><div id=\"wpforms-78-field_32-description\" class=\"wpforms-field-description\">\u967d\u6027 \u9670\u6027 \u4e0d\u77e5\r\n<\/div><\/div><div id=\"wpforms-78-field_36-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"36\"><label class=\"wpforms-field-label\" for=\"wpforms-78-field_36\">\u51fa\u751f\u6642\u6027\u5225<\/label><select id=\"wpforms-78-field_36\" class=\"wpforms-field-medium\" name=\"wpforms[fields][36]\"><option value=\"\u5973\u6027\"  class=\"choice-1 depth-1\"  >\u5973\u6027<\/option><option value=\"\u7537\u6027\"  class=\"choice-2 depth-1\"  >\u7537\u6027<\/option><\/select><div id=\"wpforms-78-field_36-description\" class=\"wpforms-field-description\">\u5973\u6027 \u7537\u6027<\/div><\/div><div id=\"wpforms-78-field_61-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"61\"><label class=\"wpforms-field-label\" for=\"wpforms-78-field_61\">\u73fe\u5728\u6027\u5225 <\/label><select id=\"wpforms-78-field_61\" class=\"wpforms-field-medium\" name=\"wpforms[fields][61]\"><option value=\"\u5973\u6027\"  class=\"choice-1 depth-1\"  >\u5973\u6027<\/option><option value=\"\u7537\u6027\"  class=\"choice-2 depth-1\"  >\u7537\u6027<\/option><\/select><div id=\"wpforms-78-field_61-description\" class=\"wpforms-field-description\">\u5973\u6027 \u7537\u6027<\/div><\/div><div id=\"wpforms-78-field_54-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"54\"><label class=\"wpforms-field-label\" for=\"wpforms-78-field_54\">\u5730\u5740 \uff1a \u8857\u9053  \u865f\u78bc<\/label><input type=\"text\" id=\"wpforms-78-field_54\" class=\"wpforms-field-medium\" name=\"wpforms[fields][54]\" aria-errormessage=\"wpforms-78-field_54-error\" ><\/div><div id=\"wpforms-78-field_55-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"55\"><label class=\"wpforms-field-label\" for=\"wpforms-78-field_55\">\u57ce\u5e02<\/label><input type=\"text\" id=\"wpforms-78-field_55\" class=\"wpforms-field-medium\" name=\"wpforms[fields][55]\" aria-errormessage=\"wpforms-78-field_55-error\" ><\/div><div id=\"wpforms-78-field_62-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"62\"><label class=\"wpforms-field-label\" for=\"wpforms-78-field_62\">\u7701<\/label><input type=\"text\" id=\"wpforms-78-field_62\" class=\"wpforms-field-medium\" name=\"wpforms[fields][62]\" aria-errormessage=\"wpforms-78-field_62-error\" ><\/div><div id=\"wpforms-78-field_56-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"56\"><label class=\"wpforms-field-label\" for=\"wpforms-78-field_56\">\u90f5\u905e\u5340\u865f<\/label><input type=\"text\" id=\"wpforms-78-field_56\" class=\"wpforms-field-medium\" name=\"wpforms[fields][56]\" aria-errormessage=\"wpforms-78-field_56-error\" ><\/div><div id=\"wpforms-78-field_59-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"59\"><label class=\"wpforms-field-label\" for=\"wpforms-78-field_59\">\u570b\u5bb6: \u7f8e\u570b<\/label><select id=\"wpforms-78-field_59\" class=\"wpforms-field-medium\" name=\"wpforms[fields][59]\"><option value=\"\u662f\"  class=\"choice-1 depth-1\"  >\u662f<\/option><option value=\"\u4e0d\u662f\"  class=\"choice-9 depth-1\"  >\u4e0d\u662f<\/option><\/select><\/div><div id=\"wpforms-78-field_57-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"57\"><label class=\"wpforms-field-label\" for=\"wpforms-78-field_57\">\u5176\u4ed6\u570b\u5bb6<\/label><input type=\"text\" id=\"wpforms-78-field_57\" class=\"wpforms-field-medium\" name=\"wpforms[fields][57]\" aria-errormessage=\"wpforms-78-field_57-error\" ><\/div><div id=\"wpforms-78-field_34-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"34\"><label class=\"wpforms-field-label\" for=\"wpforms-78-field_34\">AMH \u503c (ng\/ml  normal 2~5)<\/label><input type=\"text\" id=\"wpforms-78-field_34\" class=\"wpforms-field-medium\" name=\"wpforms[fields][34]\" aria-errormessage=\"wpforms-78-field_34-error\" ><\/div><div id=\"wpforms-78-field_5-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-78-field_5\">\u773c\u775b\u984f\u8272<\/label><select id=\"wpforms-78-field_5\" class=\"wpforms-field-medium\" name=\"wpforms[fields][5]\"><option value=\"\u68d5\u8272\"  class=\"choice-1 depth-1\"  >\u68d5\u8272<\/option><option value=\"\u85cd\u8272\"  class=\"choice-2 depth-1\"  >\u85cd\u8272<\/option><option value=\"\u9ed1\u8272\"  class=\"choice-3 depth-1\"  >\u9ed1\u8272<\/option><option value=\"\u7da0\u8272\"  class=\"choice-4 depth-1\"  >\u7da0\u8272<\/option><option value=\"\u6de1\u8910\u8272\"  class=\"choice-5 depth-1\"  >\u6de1\u8910\u8272<\/option><option value=\"\u7070\u8272\"  class=\"choice-6 depth-1\"  >\u7070\u8272<\/option><option value=\"\u7425\u73c0\u8272\"  class=\"choice-7 depth-1\"  >\u7425\u73c0\u8272<\/option><option value=\"\u5176\u5b83\"  class=\"choice-9 depth-1\"  >\u5176\u5b83<\/option><\/select><div id=\"wpforms-78-field_5-description\" class=\"wpforms-field-description\">\u68d5\u8272 \u85cd\u8272 \u9ed1\u8272 \u7da0\u8272 \u6de1\u8910\u8272 \u7070\u8272 \u7425\u73c0\u8272 \u5176\u5b83<\/div><\/div><div id=\"wpforms-78-field_30-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"30\"><label class=\"wpforms-field-label\" for=\"wpforms-78-field_30\">\u982d\u9aee\u984f\u8272<\/label><select id=\"wpforms-78-field_30\" class=\"wpforms-field-medium\" name=\"wpforms[fields][30]\"><option value=\"\u68d5\u8272\"  class=\"choice-1 depth-1\"  >\u68d5\u8272<\/option><option value=\"\u9ed1\u8272\"  class=\"choice-2 depth-1\"  >\u9ed1\u8272<\/option><option value=\"\u767d\u8272\"  class=\"choice-9 depth-1\"  >\u767d\u8272<\/option><option value=\"\u91d1\u8272\"  class=\"choice-4 depth-1\"  >\u91d1\u8272<\/option><option value=\"\u7d05\u8272\"  class=\"choice-5 depth-1\"  >\u7d05\u8272<\/option><option value=\"\u7070\u8272\"  class=\"choice-6 depth-1\"  >\u7070\u8272<\/option><option value=\"\u8d64\u8910\u8272\"  class=\"choice-7 depth-1\"  >\u8d64\u8910\u8272<\/option><option value=\"\u5176\u5b83\"  class=\"choice-8 depth-1\"  >\u5176\u5b83<\/option><\/select><div id=\"wpforms-78-field_30-description\" class=\"wpforms-field-description\">\u68d5\u8272 \u9ed1\u8272 \u767d\u8272 \u91d1\u8272 \u7d05\u8272 \u7070\u8272 \u8d64\u8910\u8272 \u5176\u5b83<\/div><\/div><div id=\"wpforms-78-field_29-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"29\"><label class=\"wpforms-field-label\" for=\"wpforms-78-field_29\">\u73fe\u5728\u7684\u4f34\u4fb6\u95dc\u4fc2?<\/label><select id=\"wpforms-78-field_29\" class=\"wpforms-field-medium\" name=\"wpforms[fields][29]\"><option value=\"\u914d\u5076\"  class=\"choice-1 depth-1\"  >\u914d\u5076<\/option><option value=\"\u670b\u53cb\"  class=\"choice-2 depth-1\"  >\u670b\u53cb<\/option><option value=\"\u55ae\u8eab\"  class=\"choice-3 depth-1\"  >\u55ae\u8eab<\/option><option value=\"\u5176\u4ed6\"  class=\"choice-4 depth-1\"  >\u5176\u4ed6<\/option><\/select><div id=\"wpforms-78-field_29-description\" class=\"wpforms-field-description\">\u914d\u5076 \u670b\u53cb \u55ae\u8eab \u5176\u4ed6<\/div><\/div><div id=\"wpforms-78-field_15-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"15\"><label class=\"wpforms-field-label\" for=\"wpforms-78-field_15\">\u4f60\u559d\u9152\u55ce\uff1f<\/label><select id=\"wpforms-78-field_15\" class=\"wpforms-field-medium\" name=\"wpforms[fields][15]\"><option value=\"\u662f\"  class=\"choice-1 depth-1\"  >\u662f<\/option><option value=\"\u5426\"  class=\"choice-2 depth-1\"  >\u5426<\/option><option value=\"\u5076\u723e\"  class=\"choice-4 depth-1\"  >\u5076\u723e<\/option><\/select><div id=\"wpforms-78-field_15-description\" class=\"wpforms-field-description\">\u662f \u5426 \u5076\u723e<\/div><\/div><div id=\"wpforms-78-field_35-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"35\"><label class=\"wpforms-field-label\" for=\"wpforms-78-field_35\">\u60a8\u62bd\u7159\u55ce\uff1f<\/label><select id=\"wpforms-78-field_35\" class=\"wpforms-field-medium\" name=\"wpforms[fields][35]\"><option value=\"\u662f\"  class=\"choice-1 depth-1\"  >\u662f<\/option><option value=\"\u5426\"  class=\"choice-2 depth-1\"  >\u5426<\/option><option value=\"\u5076\u723e\"  class=\"choice-4 depth-1\"  >\u5076\u723e<\/option><\/select><div id=\"wpforms-78-field_35-description\" class=\"wpforms-field-description\">\u662f \u5426 \u5076\u723e<\/div><\/div><div id=\"wpforms-78-field_38-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"38\"><label class=\"wpforms-field-label\" for=\"wpforms-78-field_38\">\u60a8\u6700\u9ad8\u7684\u5b78\u6b77\u662f\uff1f<\/label><input type=\"text\" id=\"wpforms-78-field_38\" class=\"wpforms-field-medium\" name=\"wpforms[fields][38]\" aria-errormessage=\"wpforms-78-field_38-error\" ><\/div><div id=\"wpforms-78-field_39-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"39\"><label class=\"wpforms-field-label\" for=\"wpforms-78-field_39\">\u4f60\u73fe\u5728\u7684\u8077\u696d\u662f?<\/label><input type=\"text\" id=\"wpforms-78-field_39\" class=\"wpforms-field-medium\" name=\"wpforms[fields][39]\" aria-errormessage=\"wpforms-78-field_39-error\" ><\/div><div id=\"wpforms-78-field_33-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"33\"><label class=\"wpforms-field-label\" for=\"wpforms-78-field_33\">\u4f60\u4e4b\u524d\u662f\u5426\u66fe\u7d93\u6350\u904e\u5375\uff1f<\/label><select id=\"wpforms-78-field_33\" class=\"wpforms-field-medium\" name=\"wpforms[fields][33]\"><option value=\"\u662f\"  class=\"choice-5 depth-1\"  >\u662f<\/option><option value=\"\u5426\"  class=\"choice-8 depth-1\"  >\u5426<\/option><\/select><\/div><div id=\"wpforms-78-field_9-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-78-field_9\">\u5982\u679c\u662f\uff0c\u6350\u904e\u5e7e\u6b21\u5375?<\/label><input type=\"text\" id=\"wpforms-78-field_9\" class=\"wpforms-field-medium\" name=\"wpforms[fields][9]\" aria-errormessage=\"wpforms-78-field_9-error\" ><\/div><div id=\"wpforms-78-field_42-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"42\"><label class=\"wpforms-field-label\" for=\"wpforms-78-field_42\">\u662f\u5426\u4f60\u66fe\u7d93\u88ab\u544a\u77e5\u904e\u4e0d\u5b55\uff1f<\/label><select id=\"wpforms-78-field_42\" class=\"wpforms-field-medium\" name=\"wpforms[fields][42]\"><option value=\"\u5426\"  class=\"choice-1 depth-1\"  >\u5426<\/option><option value=\"\u662f\"  class=\"choice-2 depth-1\"  >\u662f<\/option><\/select><\/div><div id=\"wpforms-78-field_43-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"43\"><label class=\"wpforms-field-label\" for=\"wpforms-78-field_43\">\u60a8\u7684\u5bb6\u65cf\u53f2\u88e1\u9762\u6709\u5426\u4e0d\u5b55\u75c7\uff1f<\/label><select id=\"wpforms-78-field_43\" class=\"wpforms-field-medium\" name=\"wpforms[fields][43]\"><option value=\"\u5426\"  class=\"choice-1 depth-1\"  >\u5426<\/option><option value=\"\u662f\"  class=\"choice-2 depth-1\"  >\u662f<\/option><\/select><\/div><div id=\"wpforms-78-field_40-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"40\"><label class=\"wpforms-field-label\" for=\"wpforms-78-field_40\">\u60a8\u7684\u5bb6\u65cf\u4e2d\u662f\u5426\u5b58\u5728\u4efb\u4f55\u5df2\u77e5\u7684\u907a\u50b3\u75be\u75c5\u6216\u75c5\u75c7\uff1f<\/label><input type=\"text\" id=\"wpforms-78-field_40\" class=\"wpforms-field-medium\" name=\"wpforms[fields][40]\" aria-errormessage=\"wpforms-78-field_40-error\" ><\/div><div id=\"wpforms-78-field_44-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"44\"><label class=\"wpforms-field-label\" for=\"wpforms-78-field_44\">\u60a8\u5728\u904e\u53bb\u7684\u4e00\u5e74\u4e2d\u662f\u5426\u6aa2\u6e2c\u51fa\u8863\u539f\u9ad4\u6216\u6dcb\u75c5\u5448\u967d\u6027\uff1f<\/label><select id=\"wpforms-78-field_44\" class=\"wpforms-field-medium\" name=\"wpforms[fields][44]\"><option value=\"\u5426\"  class=\"choice-1 depth-1\"  >\u5426<\/option><option value=\"\u662f\"  class=\"choice-2 depth-1\"  >\u662f<\/option><\/select><\/div><div id=\"wpforms-78-field_46-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"46\"><label class=\"wpforms-field-label\" for=\"wpforms-78-field_46\">\u60a8\u662f\u5426\u66fe\u7d93\u4f7f\u7528\u6216\u8a3b\u5c04\u904e\u4efb\u4f55\u6d88\u9063\u6027\u85e5\u7269\u6216\u975e\u6cd5\u85e5\u7269\uff1f \uff08\u53e4\u67ef\u9e7c\u3001\u5927\u9ebb\u3001LSD\u3001\u6d77\u6d1b\u56e0\u3001\u5df4\u6bd4\u59a5\u985e\u3001\u9ebb\u9189\u5291\u3001\u9d09\u7247\u985e\u85e5\u7269\u3001\u5b89\u975e\u4ed6\u660e\u3001\u5e7b\u89ba\u3001\u93ae\u975c\u5291\u3001\u4e94\u6c2f\u915a\u3001\u985e\u56fa\u9187\u6216\u5176\u4ed6\uff1f<\/label><select id=\"wpforms-78-field_46\" class=\"wpforms-field-medium\" name=\"wpforms[fields][46]\"><option value=\"\u5426\"  class=\"choice-1 depth-1\"  >\u5426<\/option><option value=\"\u662f\"  class=\"choice-2 depth-1\"  >\u662f<\/option><\/select><\/div><div id=\"wpforms-78-field_45-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"45\"><label class=\"wpforms-field-label\" for=\"wpforms-78-field_45\">\u5982\u679c\u662f\uff0c\u662f\u4ec0\u9ebc\u85e5\u7269\uff0c\u6700\u5f8c\u4e00\u6b21\u4f7f\u7528\u662f\u4ec0\u9ebc\u6642\u5019\uff1f<\/label><input type=\"text\" id=\"wpforms-78-field_45\" class=\"wpforms-field-medium\" name=\"wpforms[fields][45]\" aria-errormessage=\"wpforms-78-field_45-error\" ><\/div><div id=\"wpforms-78-field_26-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"26\"><label class=\"wpforms-field-label\" for=\"wpforms-78-field_26\">\u60a8\u76ee\u524d\u6b63\u5728\u670d\u7528\u4efb\u4f55\u85e5\u7269\u55ce\uff1f<\/label><select id=\"wpforms-78-field_26\" class=\"wpforms-field-medium\" name=\"wpforms[fields][26]\"><option value=\"\u5426\"  class=\"choice-1 depth-1\"  >\u5426<\/option><option value=\"\u662f\"  class=\"choice-2 depth-1\"  >\u662f<\/option><\/select><\/div><div id=\"wpforms-78-field_47-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"47\"><label class=\"wpforms-field-label\" for=\"wpforms-78-field_47\">\u5982\u679c\u662f\uff0c\u8acb\u63d0\u4f9b\u540d\u7a31\u548c\u4f7f\u7528\u539f\u56e0\u3002<\/label><input type=\"text\" id=\"wpforms-78-field_47\" class=\"wpforms-field-medium\" name=\"wpforms[fields][47]\" aria-errormessage=\"wpforms-78-field_47-error\" ><\/div><div id=\"wpforms-78-field_48-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"48\"><label class=\"wpforms-field-label\" for=\"wpforms-78-field_48\">\u60a8\u662f\u5426\u66fe\u56e0\u4efb\u4f55\u539f\u56e0\u63a5\u53d7\u5fc3\u7406\u5b78\u5bb6\u3001\u7cbe\u795e\u79d1\u91ab\u751f\u3001\u793e\u5de5\u3001\u8aee\u5546\u5e2b\u6216\u4efb\u4f55\u5176\u4ed6\u91ab\u7642\u4fdd\u5065\u5c08\u696d\u4eba\u54e1\u7684\u770b\u8a3a\uff1f<\/label><select id=\"wpforms-78-field_48\" class=\"wpforms-field-medium\" name=\"wpforms[fields][48]\"><option value=\"\u5426\"  class=\"choice-1 depth-1\"  >\u5426<\/option><option value=\"\u662f\"  class=\"choice-2 depth-1\"  >\u662f<\/option><\/select><\/div><div id=\"wpforms-78-field_49-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"49\"><label class=\"wpforms-field-label\" for=\"wpforms-78-field_49\"> \u5982\u679c\u662f\uff0c\u6301\u7e8c\u591a\u4e45\u4ee5\u53ca\u539f\u56e0\u662f\u4ec0\u9ebc\uff1f<\/label><input type=\"text\" id=\"wpforms-78-field_49\" class=\"wpforms-field-medium\" name=\"wpforms[fields][49]\" aria-errormessage=\"wpforms-78-field_49-error\" ><\/div><div id=\"wpforms-78-field_13-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-78-field_13\">\u60a8\u662f\u5426\u9032\u884c\u904e\u672a\u4f7f\u7528\u7121\u83cc\u5668\u68b0\u7684\u7d0b\u8eab\u6216\u7a7f\u5b54\uff1f<\/label><select id=\"wpforms-78-field_13\" class=\"wpforms-field-medium\" name=\"wpforms[fields][13]\"><option value=\"\u5426\"  class=\"choice-2 depth-1\"  >\u5426<\/option><option value=\"\u662f\"  class=\"choice-1 depth-1\"  >\u662f<\/option><\/select><\/div><div id=\"wpforms-78-field_14-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"14\"><label class=\"wpforms-field-label\" for=\"wpforms-78-field_14\"> \u60a8\u9858\u610f \u570b\u5167\u65c5\u884c\/\u6216\u4e58\u5750\u98db\u6a5f \u53bb\u53d6\u5375\u55ce\uff1f<\/label><select id=\"wpforms-78-field_14\" class=\"wpforms-field-medium\" name=\"wpforms[fields][14]\"><option value=\"\u662f\"  class=\"choice-1 depth-1\"  >\u662f<\/option><option value=\"\u5426\"  class=\"choice-2 depth-1\"  >\u5426<\/option><option value=\"\u4e0d\u77e5\"  class=\"choice-3 depth-1\"  >\u4e0d\u77e5<\/option><\/select><\/div><div id=\"wpforms-78-field_60-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"60\"><label class=\"wpforms-field-label\" for=\"wpforms-78-field_60\"> \u60a8\u9858\u610f \u8de8\u570b\u65c5\u884c\/\u6216\u4e58\u5750\u98db\u6a5f \u53bb\u53d6\u5375\u55ce\uff1f<\/label><select id=\"wpforms-78-field_60\" class=\"wpforms-field-medium\" name=\"wpforms[fields][60]\"><option value=\"\u662f\"  class=\"choice-1 depth-1\"  >\u662f<\/option><option value=\"\u5426\"  class=\"choice-2 depth-1\"  >\u5426<\/option><option value=\"\u4e0d\u77e5\"  class=\"choice-3 depth-1\"  >\u4e0d\u77e5<\/option><\/select><\/div><div id=\"wpforms-78-field_20-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-type=\"textarea\" data-field-id=\"20\"><label class=\"wpforms-field-label\" for=\"wpforms-78-field_20\"> \u63cf\u8ff0\u60a8\u6700\u559c\u6b61\u7684\u55dc\u597d\u548c\u8208\u8da3\uff1a<\/label><textarea id=\"wpforms-78-field_20\" class=\"wpforms-field-medium\" name=\"wpforms[fields][20]\" aria-errormessage=\"wpforms-78-field_20-error\" ><\/textarea><\/div><div id=\"wpforms-78-field_22-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-type=\"textarea\" data-field-id=\"22\"><label class=\"wpforms-field-label\" for=\"wpforms-78-field_22\">\u63cf\u8ff0\u4e00\u4e0b\u4f60\u7684\u6027\u683c\u548c\u7279\u8cea\/ \u82f1\u6587\u8b77\u7167\u540d\u5b57\u53ca\u82f1\u6587\u66b1\u7a31\uff1a<\/label><textarea id=\"wpforms-78-field_22\" class=\"wpforms-field-medium\" name=\"wpforms[fields][22]\" aria-errormessage=\"wpforms-78-field_22-error\" ><\/textarea><\/div><div id=\"wpforms-78-field_64-container\" class=\"wpforms-field wpforms-field-file-upload\" data-field-type=\"file-upload\" data-field-id=\"64\"><label class=\"wpforms-field-label\" for=\"wpforms-78-field_64\">\u4e0a\u50b3\u672a\u7de8\u8f2f\u59b3\u7684\u7167\u7247\uff08\u6700\u591a 2 \u500b\u6a94\u6848\uff09<\/label><div\n\t\tclass=\"wpforms-uploader \"\n\t\tdata-field-id=\"64\"\n\t\tdata-form-id=\"78\"\n\t\tdata-input-name=\"wpforms_78_64\"\n\t\tdata-extensions=\"png,gif,jpg,jpeg\"\n\t\tdata-max-size=\"1048576\"\n\t\tdata-max-file-number=\"2\"\n\t\tdata-post-max-size=\"2147483648\"\n\t\tdata-max-parallel-uploads=\"4\"\n\t\tdata-parallel-uploads=\"true\"\n\t\tdata-file-chunk-size=\"1048576\">\n\t<div class=\"dz-message\">\n\t\t<svg  viewBox=\"0 0 640 640\" focusable=\"false\" data-icon=\"inbox\" width=\"50px\" height=\"50px\" fill=\"currentColor\" aria-hidden=\"true\">\n\t\t\t<path d=\"M352 173.3L352 384C352 401.7 337.7 416 320 416C302.3 416 288 401.7 288 384L288 173.3L246.6 214.7C234.1 227.2 213.8 227.2 201.3 214.7C188.8 202.2 188.8 181.9 201.3 169.4L297.3 73.4C309.8 60.9 330.1 60.9 342.6 73.4L438.6 169.4C451.1 181.9 451.1 202.2 438.6 214.7C426.1 227.2 405.8 227.2 393.3 214.7L352 173.3zM320 464C364.2 464 400 428.2 400 384L480 384C515.3 384 544 412.7 544 448L544 480C544 515.3 515.3 544 480 544L160 544C124.7 544 96 515.3 96 480L96 448C96 412.7 124.7 384 160 384L240 384C240 428.2 275.8 464 320 464zM464 488C477.3 488 488 477.3 488 464C488 450.7 477.3 440 464 440C450.7 440 440 450.7 440 464C440 477.3 450.7 488 464 488z\"\/>\n\t\t<\/svg>\n\n\t\t<span class=\"modern-title\">\n\t\t\t\t\t\t\tDrag &amp; Drop Files, \t\t\t\t<span>Choose Files to Upload<\/span>\n\t\t\t\t\t<\/span>\n\n\t\t\t\t\t<span class=\"modern-hint\">You can upload up to 2 files.<\/span>\n\t\t\t<\/div>\n<\/div>\n\n<input\n\t\ttype=\"text\"\n\t\tautocomplete=\"off\"\n\t\treadonly\n\t\tclass=\"dropzone-input\"\n\t\tstyle=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\"\n\t\tid=\"wpforms-78-field_64\"\n\t\tname=\"wpforms_78_64\" \t\tvalue=\"\">\n<div id=\"wpforms-78-field_64-description\" 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