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reservation-invoice.html 5.6KB

    <!DOCTYPE html> <html lang="en"> <head> <title>专票预约</title> {%>template/common/Head.html%} <script src="biz/js/reservation-invoice.js"></script> </head> <body class="pages-reservation-paying"> <div class="ipu-flex-row ipu-flex-vertical"> <div class="ipu-flex-col"> <div class="ipu-toolbar"> <a class="ipu-fn-left link-back ipu-flex ipu-flex-align-center" href="javascript:;" id="back"> <div class="left-back"></div> </a> <h1 class="ipu-toolbar-title">专票预约</h1> </div> </div> <div class="ipu-flex-col ipu-flex-col-auto"> <div class="ipu-form-item form-item-required common-border-top"> <div class="ipu-flex common-border-bottom"> <div class="item-key">预约时间:</div> <div class="item-value ipu-flex-col-auto"> <div id="select-time" class="ipu-flex ipu-flex-justify-end ipu-flex-align-center"> <input type="text" placeholder="请选择" readonly/> <div class="right-arrow"></div> </div> </div> </div> </div> <div class="ipu-form-item form-item-required"> <div class="ipu-flex common-border-bottom"> <div class="item-key">预约地点:</div> <div class="item-value ipu-flex-col-auto"> <div id="select-place" class="ipu-flex ipu-flex-justify-end ipu-flex-align-center"> <input type="text" placeholder="请选择" readonly/> <div class="right-arrow"></div> </div> </div> </div> </div> <div class="ipu-form-item form-item-required"> <div class="ipu-flex common-border-bottom"> <div class="item-key" style="margin-right:.16rem">抬头类型:</div> <div class="item-value ipu-flex-col-auto"> <input type="hidden" id="invoice-type"/> <div class="form-radio ipu-flex"> <div class="type-1 ipu-flex ipu-flex-align-center"> <div class="radio-check active"></div> <div class="radio-label">企业单位</div> </div> <div class="type-0 ipu-flex ipu-flex-align-center"> <div class="radio-check"></div> <div class="radio-label">个人/非企业单位</div> </div> </div> </div> </div> </div> <div class="company-information"> <div class="ipu-form-item form-item-required"> <div class="ipu-flex common-border-bottom"> <div class="item-key">发票抬头:</div> <div class="item-value ipu-flex-col-auto"> <input type="text" placeholder="请输入发票抬头"/> </div> </div> </div> <div class="ipu-form-item form-item-required"> <div class="ipu-flex common-border-bottom"> <div class="item-key">税号:</div> <div class="item-value ipu-flex-col-auto"> <input type="text" placeholder="请填写纳税人识别号"/> </div> </div> </div> <div class="ipu-form-item"> <div class="ipu-flex common-border-bottom"> <div class="item-key">更多内容:</div> <div class="item-value ipu-flex-col-auto"> <div class="invoice-more ipu-flex ipu-flex-justify-end ipu-flex-align-center"> <input type="text" placeholder="填写电话、地址等(非必填)" readonly/> <div class="right-arrow"></div> </div> </div> </div> </div> <div class="invoice-more-content ipu-fn-hide"> <div class="ipu-form-item"> <div class="ipu-flex common-border-bottom"> <div class="item-key">公司地址:</div> <div class="item-value ipu-flex-col-auto"> <input type="text" placeholder="请输入公司地址"/> </div> </div> </div> <div class="ipu-form-item"> <div class="ipu-flex common-border-bottom"> <div class="item-key">电话号码:</div> <div class="item-value ipu-flex-col-auto"> <input type="text" placeholder="请输入公司电话号码"/> </div> </div> </div> <div class="ipu-form-item"> <div class="ipu-flex common-border-bottom"> <div class="item-key">开户银行:</div> <div class="item-value ipu-flex-col-auto"> <input type="text" placeholder="请输入公司开户银行"/> </div> </div> </div> <div class="ipu-form-item"> <div class="ipu-flex common-border-bottom"> <div class="item-key">银行账号:</div> <div class="item-value ipu-flex-col-auto"> <input type="text" placeholder="请输入公司银行账号"/> </div> </div> </div> </div> </div> <div class="personal-information ipu-fn-hide"> <div class="ipu-form-item form-item-required"> <div class="ipu-flex common-border-bottom"> <div class="item-key">名称:</div> <div class="item-value ipu-flex-col-auto"> <input type="text" placeholder="填写准确的抬头名称(必填)"/> </div> </div> </div> </div> <div class="ipu-form-item" style="margin-bottom: .2rem"> <div class="ipu-flex common-border-bottom"> <div class="item-key">备注:</div> <div class="item-value ipu-flex-col-auto"> <input type="text" placeholder="可填写备注信息(非必填)"/> </div> </div> </div> </div> <div class="ipu-flex-col form-btn"> <button class="ipu-btn common-btn">提交</button> </div> </div> </body> </html>