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bgcolor="#FFFFFF"> <span class="STYLE25"> 网上预约听力检查，可以在选配店、在家中或您的办公室进行 </span></td> <td width="12"></td> </tr> <tr> <td height="161"></td> <td valign="top"><img src="image/YYU.jpg" width="710" height="161" /></td> <td></td> </tr> <tr> <td height="214"> </td> <td valign="top"><table cellpadding="0" cellspacing="0" bgcolor="#D3DCE1"> <!--DWLayoutTable--> <tr> <td width="705" height="14"> </td> </tr> <tr> <td height="37" valign="top"><span class="STYLE8"> <span class="STYLE4"> 填写以下表格，以便我们为您计划服务；带有 *标志的是必须填写的内容。在收到您的信息的第2天， 听力 顾问会通过电话了解您的听力问题，为您安排听力检查时间，并确认是否可以申领预约优惠券；为方便听力顾问与您交流， 别忘了带着您的家属一起来。</span></span></td> </tr> <tr> <td height="161"><form id="form1" name="form1" method="post" action=""> <table width="707" height="158"> <!--DWLayoutTable--> <tr> <td height="15" colspan="3" align="left" valign="middle"><span class="STYLE8">日期范围 *</span></td> <td colspan="3"> </td> <td width="218" align="left" valign="middle"><span class="STYLE8">您想在哪里进行听力检查 *</span></td> <td width="4"></td> </tr> <tr> <td width="71" height="20" align="left" valign="middle"><input name="textfield" type="text" class="STYLE8" value="2007" size="8" /></td> <td width="67" align="left" valign="middle"><label for="select"></label> <select name="select3" class="STYLE18" id="select"> <option selected="selected">4月</option> <option>5月</option> <option>6月</option> <option>7月</option> <option>8月</option> <option>9月</option> <option>10月</option> <option>11月</option> <option>12月</option> </select> </td> <td width="86" align="left" valign="middle"><label for="label"></label> <select name="select4" class="STYLE18" id="label"> <option selected="selected">1</option> <option>2</option> <option>3</option> <option>4</option> <option>5</option> <option>6</option> <option>7</option> <option>8</option> <option>9</option> <option>10</option> <option>11</option> <option>12</option> <option>13</option> <option>14</option> <option>15</option> <option>16</option> <option>17</option> <option>18</option> <option>19</option> <option>20</option> <option>21</option> <option>22</option> <option>23</option> <option>24</option> <option>25</option> <option>26</option> <option>27</option> <option>28</option> <option>29</option> <option>30</option> <option>31</option> </select> <span class="STYLE20">至</span></td> <td width="73" align="left" valign="middle"><input name="textfield2" type="text" class="STYLE8" value="2007" size="8" /></td> <td width="67" align="left" valign="middle"><select name="select" class="STYLE18" id="select2"> <option selected="selected">4月</option> <option>5月</option> <option>6月</option> <option>7月</option> <option>8月</option> <option>9月</option> <option>10月</option> <option>11月</option> <option>12月</option> </select></td> <td width="85" align="left" valign="middle"><select name="select2" class="STYLE18" id="select3"> <option selected="selected">1</option> <option>2</option> <option>3</option> <option>4</option> <option>5</option> <option>6</option> <option>7</option> <option>8</option> <option>9</option> <option>10</option> <option>11</option> <option>12</option> <option>13</option> <option>14</option> <option>15</option> <option>16</option> <option>17</option> <option>18</option> <option>19</option> <option>20</option> <option>21</option> <option>22</option> <option>23</option> <option>24</option> <option>25</option> <option>26</option> <option>27</option> <option>28</option> <option>29</option> <option>30</option> <option>31</option> </select></td> <td align="left" valign="middle"><label for="label3"></label> <select name="地点" class="STYLE18" id="label3"> <option selected="selected">- - - - - -</option> <option>在您的家里</option> <option>在您的办公室</option> <option>在我们的选配店</option> </select> </td> <td></td> </tr> <tr> <td height="15" colspan="3" align="left" valign="middle"><span class="STYLE8">姓 名*</span></td> <td colspan="3" align="left"><span class="STYLE8">省份*</span></td> <td align="left" valign="middle"><span class="STYLE8">个人留言</span></td> <td></td> </tr> <tr> <td height="18" colspan="3" align="left" valign="middle"><input name="姓名" type="text" id="label2" size="16" /></td> <td colspan="3" align="left"><input name="省份" type="text" id="姓名" size="16" /></td> <td rowspan="4" align="left" valign="top"><textarea name="留言" cols="26" rows="4" id="留言"></textarea></td> <td></td> </tr> <tr> <td height="15" colspan="3" align="left" valign="middle"><span class="STYLE8">Email</span></td> <td colspan="3" align="left"><span class="STYLE8">城市*</span></td> <td></td> </tr> <tr> <td height="18" colspan="3" align="left" valign="middle"><input name="Email" type="text" id="省份" size="16" /></td> <td colspan="3" align="left"><input name="城市" type="text" id="Email" size="16" /></td> <td></td> </tr> <tr> <td colspan="3" rowspan="2" align="left" valign="middle"><span class="STYLE8">电话 *</span></td> <td colspan="3" rowspan="2" align="left"><span class="STYLE8">县/行政区*</span></td> <td height="2"></td> </tr> <tr> <td height="0"></td> <td></td> </tr> <tr> <td height="22" colspan="3" align="left" valign="middle"><input name="电话" type="text" id="城市" size="16" /></td> <td colspan="3" align="left"><input name="县/行政区" type="text" id="电话" size="16" /></td> <td align="left"> <input name="Submit" type="submit" class="STYLE18" value="提交" /></td> <td></td> </tr> </table> </form> </td> </tr> </table></td> <td> </td> </tr> <tr> <td height="145" colspan="3" valign="top"><table width="100%" border="0" cellpadding="0" cellspacing="0"> <!--DWLayoutTable--> <tr> <td width="10" height="142"> </td> <td width="707" valign="top" bgcolor="#D3DCE1"><table width="711" cellpadding="0" cellspacing="0" bgcolor="#D3DCE1"> <!--DWLayoutTable--> <tr> <td height="20" colspan="7" align="left" valign="middle" bgcolor="#FFFFFF"><div align="left"><span class="STYLE25"> 预约听力检查，通过电话、在线客服或短信</span></div></td> </tr> <tr> <td width="1" height="1"></td> <td width="73"></td> <td width="182"></td> <td width="212"></td> <td width="96"></td> <td width="138"></td> <td width="7"></td> </tr> <tr> <td height="23"></td> <td colspan="2" valign="middle"><div align="center"> <p class="STYLE20"> 电话预约</p> </div></td> <td align="center" valign="middle"><span class="STYLE20">在线客服</span></td> <td colspan="2" valign="middle"><div align="center"><span class="STYLE22"> </span><span class="STYLE20"> 短信预约</span></div></td> <td> </td> </tr> <tr> <td height="82"></td> <td align="center" valign="middle"><p><img src="image/u=3736430280,1072245488&gp=40.jpg" width="73" height="82" /></p></td> <td align="center" valign="top" class="STYLE20">广州：020-81307991、81064491 、83649148 <br /> 佛山：0757-82306329 <br /> 韶关：0751-8389941 </td> <td align="center" valign="middle"><p align="center" class="STYLE20"><img src="image/zixun1.gif" width="126" height="55" /></p></td> <td align="center" valign="middle"><p><img src="image/u=2148471847,4150785853&gp=40.png" width="73" height="82" /></p></td> <td align="center" valign="top" class="STYLE20">13602761647、10602033335585 <br /> 10602033339951</td> <td></td> </tr> <tr> <td height="14"></td> <td> </td> <td> </td> <td></td> <td></td> <td></td> <td></td> </tr> <!--DWLayoutTable--> </table></td> <td width="13"> </td> </tr> </table> </td> </tr> </table></td> </tr> <tr> <td height="48" valign="top"><table width="100%" border="0" cellpadding="0" cellspacing="0" bgcolor="b3c4cc"> <!--DWLayoutTable--> <tr> <td width="13" height="12"></td> <td width="702"></td> <td width="15"></td> </tr> <tr> <td height="36"></td> <td valign="top"><div align="left"><span class="STYLE18">1. 为方便我们的听力顾问与您交流，别忘了带着您的家属一起来。<br /> 2。我们的听力检查是免费的。一般情况下，我们建议听力患者到我们的验配店进行听力检查；如果您因为行动不太方便等特殊原因，<br /> 我们很乐意为您提供上门的听力检查。<br /> <br /> </span></div></td> <td></td> </tr> <!--DWLayoutTable--> </table></td> </tr> </table> <table width="730" border="0" cellspacing="0" cellpadding="0"> <tr> <td><img src="image/line_h_01.gif" width="730" height="1" /></td> </tr> </table> </td> </tr> </table> <table height="10" cellspacing="0" cellpadding="0" width="750" border="0"> <tbody> <tr> <td height="4"></td> </tr> </tbody> </table> <table width="750" border="0" cellspacing="0" cellpadding="0"> <tr> <td align="center" class="paragraph"><div align="center" class="text STYLE4 STYLE26"><span class="STYLE5">广州众悦听力康复助听器验配连锁机构2007年版权所有<br /> 广州市中山六路255号之一三楼 电话: 020-81307991 <br /> <br /> </span></div></td> </tr> </table> <script src="http://www.google-analytics.com/urchin.js" type="text/javascript"> </script> <script type="text/javascript"> _uacct = "UA-863202-3"; urchinTracker(); </script> </body> </html>