<form method="post" enctype="multipart/form-data" action="../api/feedback/">
<input name="items" type="hidden" value="58"/>
<dl class="form0">
<dt><h4>標題</h4><i>*</i></dt>
<dd><span><input name="params4" required="required" placeholder="請輸入反饋的主題！" type="text"/></span></dd>
</dl>
<dl class="form4">
<dt><h4>留言</h4><i>*</i></dt>
<dd><span><textarea name="params5" required="required" placeholder="請輸入建議或意見內容！" ></textarea></span></dd>
</dl>
<dl class="form888">
<dt><h4>驗證碼</h4><i>*</i></dt>
<dd>
<span class="captcha">
<input name="captcha" autocomplete="off" required="required" placeholder="請輸入驗證碼！" type="text"/>
<i><img alt="在線留言" captcha src="../api/captcha/" onclick="this.src+='?';"></i>
</span>
</dd>
</dl>
<button type="submit">提交</button>
</form>
