<div class="page">
    <div class="hd">
        <h1>领500M流量!</h1>
    </div>
    <form action="http://appapns.www.gov.cn/govdata/survey.shtml" method="post">
        <div class="weui_cells weui_cells_form">
            <input class="hidden" type="text" name="answer" value="{}">
            <div class="weui_cell">
                <div class="weui_cell_hd">
                    <div class="weui_label">姓名(爱填啥填啥)</div>
                </div>
                <div class="weui_cell_bd weui_cell_primary">
                    <input type="text" name="name" class="weui_input" value="人民">
                </div>
            </div>
            <div class="weui_cell">
                <div class="weui_cell_hd">
                    <div class="weui_label">手机</div>
                </div>
                <div class="weui_cell_bd weui_cell_primary">
                    <input type="text" name="phone" class="weui_input" placeholder="请输入手机号">
                </div>
            </div>
            <input class="hidden" type="text" name="format" value="script">
            <input class="hidden" type="text" name="callback" value="surveycallback">
        </div>
        <div class="weui_cells_tips">点击领取后显示“surveycallback={"errCode":0}”则表示领取成功!</div>
        <div class="weui_btn_area">
            <input type="submit" name="submit" class="weui_btn weui_btn_primary" value="提交" onclick="alert('活动时间:4月2日-5月15日\n(流量在活动结束后统一赠送)')" >
        </div>
    </form>
</div>
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