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<form name="" id="" method="post">
            
			<div class="form-group" id="form-group-title">
			    <div class="form-title">姓名</div>
			    <div class="form-block">
			        <input class="form-control" type="text" id="title" name="title" value="" placeholder="请输入姓名">
			    </div>
		        			</div>
                    
			<div class="form-group" id="form-group-contact">
			    <div class="form-title">联系方式</div>
			    <div class="form-block">
			        <input class="form-control" type="text" id="contact" name="contact" value="" placeholder="请输入联系方式">
			    </div>
		        			</div>
                    
			<div class="form-group" id="form-group-address">
			    <div class="form-title">地址</div>
			    <div class="form-block">
			        <input class="form-control" type="text" id="address" name="address" value="" placeholder="请输入地址">
			    </div>
		        			</div>
                    
			<div class="form-group" id="form-group-body">
			    <div class="form-title">咨询内容</div>
			    <div class="form-block">
			        <textarea class="form-control" id="body" name="body" placeholder="请输入咨询内容"></textarea>
			    </div>
		        			</div>
        	<div class="form-button">
		<input type="submit" name="submit" id="submit" value="提交">
		<input type="reset" name="reset" id="reset" value="重置">
	</div>
</form>