https://www.cqmdw.com/static//skin/js/housesDetail.js"></script>
<div id="myModal" class="reveal-modal">
    <div class="modal-background">
        <div class="photo-detail">
        <div class="order-box default-color">
            <h4><span class="close-order pointer close-reveal-modal"></span> 预约选墓 </h4>
            <form action="" enctype="multipart/form-data" method="post">
                <input type="hidden" name="action" value="post">
                <input type="hidden" name="diyid" value="1">
                <input type="hidden" name="do" value="2">
            <table class="table">
            <colgroup width="140"></colgroup>
            <tr>
                                      <th>您的姓名：</th>
                                      <td><input type="text" class="form-control" id="bm_fmname" name="bm_fmname" value=""/></td>
            </tr>
            <tr>
                                      <th>联系方式：</th>
                                      <td><input type="text" class="form-control" id="bm_fmtel" name="bm_fmtel" value=""/></td>
            </tr>

          </table>
                  <div class="text-center">
                  <input type="submit" class="btn" name="submit" value="提交">
                  </div>
                  <input type="hidden" name="mytime" id="mytime">
                  <textarea name="bm_fmbeizhu" id="bm_fmbeizhu" cols="" rows="" class="itext" style=" display:none">该用户正用PC看《大足区殡仪服务中心》</textarea>
          </form>                
          </div>
      </div>
      </div>
     </div>
</body>
</html>