Number" /></div>
					</li>										
					<li>
						<strong>户主:</strong>
						<div class="fl"><input type="text" name="nickname" value="" class="ipt nickname" /></div>
					</li>
					<li>
						<strong>电话:</strong>
						<div class="fl"><input type="text" name="phone" value="" class="ipt phone" /></div>
					</li>
					<li>
						<strong>金额:</strong>
						<div class="fl"><input type="text" name="money" value="" class="ipt money" /></div>
					</li>
					<li><input type="submit" value="确�