document.write(`
<style>
.cms-msg-form{
    border:solid 1px #949494;
    padding:25px 15px;
    position:relative;
    margin:20px 0
}
.cms-msg-form > div{
    position: absolute;
    line-height: 20px;
    top: -10px;
    background-color: #fff;
    padding: 0 5px;
    left: 50%;
    transform: translateX(-50%);
}
.cms-msg-form label{
    display:block
}
.cms-msg-form label input{
    width:95%;
    height:50px;
    padding:10px 25px; 
    font-size:20px;
    border:solid 1px #b5b5b5;
    outline:none;
    margin: 8px;
}
.cms-msg-form label .err{
    border: solid 1px red;
    background-color: #fce8e8;
}
.cms-msg-form form div{
    text-align:center
}
.cms-msg-form form div button{
    background-color:#FF3D3D;
    border:solid 1px #eee;
    padding:8px 25px;
    color:#ffffff;
    font-size:20px;
    font-weight:400;
    border:solid 1px #b5b5b5;
    width:80%;
    height:50px;
}
.cms-msg-form form div button[disabled]{
    background-color: #F00000;
}
.cms-msg-form form div button:not([disabled]):hover{
    background-color:#F00000;
    color:#ffffff;
}
.cms-msg-form form div p{
    color: red;
    margin: 5px 0;
    font-size: 13px;
}
</style>
<div class="cms-msg-form">
    <div>请填写您的信息申请投放广告</div>
    <form method=post>
        <label><input type="text" name="name" placeholder="请填写您的姓名"></label>
        <label><input type="tel" name="tel" placeholder="请填写您的手机号"></label>
        <div><button type="submit">立即申请投放广告</button></div>
    </form>
</div>
`);
//<script>
!function(script, core){
    if (window.jQuery === undefined){
        script('/zb_system/script/jquery-2.2.4.min.js', core);
    }else{
        core();
    }
}(function(src, callback){
    var script = document.createElement('script'),
        head = document.getElementsByTagName('head')[0];
    script.type = 'text/javascript';
    script.charset = 'UTF-8';
    script.src = src;
    if (script.addEventListener) {
        script.addEventListener('load', function () {
            callback();
        }, false);
    } else if (script.attachEvent) {
        script.attachEvent('onreadystatechange', function () {
            var target = window.event.srcElement;
            if (target.readyState == 'loaded') {
                callback();
            }
        });
    }
    head.appendChild(script);
},function(){
    var dom = $('.cms-msg-form');
    
    $.each(customFields||{}, function(key, value){
        dom.find('form').append(`<input type=hidden name="${key}" value="${value}">`);
    });
    
    dom.on('submit','form',function(){
        var name = dom.find('[name=name]'),
            tel = dom.find('[name=tel]'),
            ret,
            data = {},
            convert = {
                360: function(){
                                    },
                sogou: function(){
                                    }
            };
        $.each([name,tel], function(index, value){
            var isM = value.attr('name') == 'tel';
            if (value.val() == '' || isM && !/^1[3-9]\d{9}$/.test(value.val())){
                value.focus();
                value.addClass('err');
                value.unbind('input');
                value.bind('input blur',function(){
                    value.removeClass('err');
                });
                ret = 1;
                return false;
            }
        });
        
        $(this).find('input').each(function(){
            data[$(this).attr('name')] = $(this).val();
        });
        
        data.referer = document.referrer;
        data.page = location.href;
        
        function err(s){
            var o = this.submit;
            o.attr('disabled', false).text(this.submitText);
            o.before(`<p>${s}</p>`);
            setTimeout(function() {
                o.prev().remove();
            }, 2000);
        }
        
        ret || $.ajax({
            url: 'https://ly.skroom.cn/zb_users/plugin/cms/cmd.php?act=ajax&method=message',
            data,
            dataType: 'json',
            type:'post',
            beforeSend: function(){
                var s;
                this.submit = s = dom.find('[type=submit]');
                this.submitText = s.text();
                s.attr('disabled', true).text('提交中，请勿关闭...');
            },
            success: function(res){
                if (res.code == 1){
                    dom.text('提交成功，请保持您的手机畅通，我们会在第一时间与您联系！');
                    if (res.js){
                        $.each(convert, function(index, fn){
                            fn();
                        })
                    }
                }else{
                    err.call(this, res.msg);
                }
            },
            error: function(){
                err.call(this, '提交失败，请稍后再试！有急事请致电：4006560786');
            }
        });
        return false;
    });
});
//</script>