{js:artTemplate}
{js:areaSelect}
<div class="breadcrumbs" id="breadcrumbs">
	<ul class="breadcrumb">
		<li>
			<i class="home-icon fa fa-home"></i>
			<a href="#">系统</a>
		</li>
		<li>
			<a href="#">自提点管理</a>
		</li>
		<li class="active">自提点管理编辑</li>
	</ul>
</div>

<div class="content">
	<form action='{url:/system/takeself_update}' method='post' name='takeself'>
		<input type='hidden' name='id' value=""/>
		<table class="table form-table">
			<colgroup>
				<col width="130px" />
				<col />
			</colgroup>

			<tr>
				<th>说明：</th>
				<td>平台提供的统一物流自提点，用户凭借短信验证码来提货。商家也可以邮寄到此地址</td>
			</tr>
			<tr>
				<th>名称：</th>
				<td>
					<input type='text' class='form-control' name='name' value='' pattern='required' alt="填写名称" />
				</td>
			</tr>
			<tr>
				<th>地区：</th>
				<td>
					<div class="row">
						<div class="col-md-3">
							<select name="province" child="city,area" class="form-control"></select>
						</div>
						<div class="col-md-3">
							<select name="city" child="area" class="form-control"></select>
						</div>
						<div class="col-md-3">
							<select name="area" class="form-control"></select>
						</div>
					</div>
				</td>
			</tr>
			<tr>
				<th>地址：</th>
				<td>
					<input type='text' class='form-control' name='address' value='' pattern='required'  />
				</td>
			</tr>
			<tr>
				<th>固定电话：</th>
				<td>
					<input type='text' class='form-control' name='phone' value='' pattern='required' />
				</td>
			</tr>
			<tr>
				<th>手机：</th>
				<td>
					<input type='text' class='form-control' name='mobile' value='' pattern='required'  />
				</td>
			</tr>
			<tr>
				<th>排序：</th>
				<td>
					<input type='text' class='form-control' name='sort' value='' pattern='' />
					<p class="help-block">数据排序,数字越小越靠前</p>
				</td>
			</tr>
			<tr>
				<th></th>
				<td>
					<button class='btn btn-primary' type='submit'>确 定</button>
				</td>
			</tr>
		</table>
	</form>
</div>

<script type='text/javascript'>
//DOM加载完毕
$(function(){
	//修改模式
	var formObj = new Form('takeself');
	formObj.init({echo:JSON::encode($this->takeselfRow)});

	//地区联动插件
	var areaInstance = new areaSelect('province');
	areaInstance.init({echo:JSON::encode($this->takeselfRow)});
});
</script>