<div class="ywmvw"> 
    <h4>在线留言</h4>
      <div class="loyjh">
           <form action="" class="form-horizontal" method="post" name="myform" id="myform">
            <input name="is_form" type="hidden" value="1">
            <input name="is_admin" type="hidden" value="1">
            <input name="is_tips" type="hidden" value="">
            <input name="csrf_test_name" type="hidden" value="298c91ea277bbc7e4ab9b4b484f4dc0c">
           <div class="fgum">
             <div class="hecm">
               <div class="vvrt"><input class="form-control dr_required " type="text" name="data[title]" value="" placeholder="请问怎么称呼：" required="required"></div>
             </div>
             <div class="hecm">
               <div class="nsxcd"><input class="form-control  " type="text" name="data[author]" value="" placeholder="请输入电话："></div>
             </div>
             <div class="grhjd">
               <div class="zderj"><textarea class="form-control" name="data[miaoshu]" placeholder="需求描述："></textarea></div>
             </div>                                
           </div>
           <div class="pwbjk">
             <div class="dcrt">
                <button type="button" onclick="dr_ajax_submit('http://www.weihuapin.com/index.php?s=form&c=webly&m=post', 'myform', '2000', '#')" class="btn green"> <i class="fa fa-save"></i> 提交内容</button>
             </div>
           </div>
      </form>
      </div>
 </div>