{template 'common/header'}
<style>
	.panel{margin:.5em;padding:.5em;}
	.actions{margin:.8em auto;}
	.nav.nav-tabs{margin-bottom:.8em;}
</style>
<script type="text/javascript">
	$("#form1").submit(function(){
		if($("#realname").val().trim() == '') {
			util.message('请填写收货人姓名');
			return false;
		}
		if($("#mobile").val().trim() == '') {
			util.message('请填写收货人电话');
			return false;
		}
		var reg = /^0?1[3|4|5|8][0-9]\d{8}$/;
		if (!reg.test($('#mobile').val())) {
			util.message('收货人电话格式不正确');
			return false;
		}
		if($("#zipcode").val().trim() == '') {
			util.message('请填写收货人邮编');
			return false;
		}
		if($("#zipcode").val().trim() == '') {
			util.message('请填写收货人邮编');
			return false;
		}
		if($("#address").val().trim() == '') {
			util.message('请填写收货人地址');
			return false;
		}
		
	});
</script>
<div class="panel">
	<div class="page-header">
		<h4>邮寄人信息</h4>
	</div>
	<form name="theform" method="post" id="form1" action="">
		<ul class="nav nav-tabs">
			<li class="active"><a href="#basic">邮寄人信息</a></li>
		</ul>
		<div class="tab-content">
			<div class="tab-pane animated active">
				<div class="form-group">
					<label class="control-label">收货人姓名</label>
					<input name="realname" id="realname" type="text" class="form-control" placeholder="收货人姓名" value="{$shipping['realname']}">
				</div>
				<div class="form-group">
					<label class="control-label">收货人电话</label>
					<input name="mobile" id="mobile" type="text" class="form-control" placeholder="收货人电话" value="{$shipping['mobile']}">
				</div>
				<div class="form-group">
					<label class="control-label">收货人邮编</label>
					<input name="zipcode" id="zipcode" type="text" class="form-control" placeholder="收货人邮编" value="{$shipping['zipcode']}">
				</div>
				<div class="form-group">
					<label class="control-label">邮寄省市县(区)</label>
					{php echo tpl_fans_form('reside', array('province' => $shipping['province'], 'city' => $shipping['city'], 'district' => $shipping['district']));}
				</div>
				<div class="form-group">
					<label class="control-label">收货人地址</label>
					<input name="address" id="address" type="text" class="form-control" placeholder="收货人地址" value="{$shipping['address']}">
				</div>
			</div>
		</div>
		<input type="hidden" name="token" value="{$_W['token']}" />
		<input type="hidden" name="exid" value="{$shipping['exid']}" >
		<input type="submit" name="submit" class="btn btn-primary btn-block" value="提交资料">
	</form>
</div>
{template 'common/footer'}