{"id":31544,"date":"2024-05-23T23:58:17","date_gmt":"2024-05-24T06:58:17","guid":{"rendered":"https:\/\/pickupway.com\/?page_id=31544"},"modified":"2026-01-21T10:41:46","modified_gmt":"2026-01-21T18:41:46","slug":"selfregister","status":"publish","type":"page","link":"https:\/\/pickupway.com\/en\/selfregister\/","title":{"rendered":"Driver Registration"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"31544\" class=\"elementor elementor-31544\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"wd-negative-gap elementor-section elementor-top-section elementor-element elementor-element-2712f04a elementor-section-height-min-height elementor-section-boxed elementor-section-height-default elementor-section-items-middle\" data-id=\"2712f04a\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-4633a5fa\" data-id=\"4633a5fa\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"wd-negative-gap elementor-section elementor-inner-section elementor-element elementor-element-4d9aa622 elementor-reverse-tablet elementor-reverse-mobile elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4d9aa622\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-5002bb73\" data-id=\"5002bb73\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-567ab554 wd-width-100 elementor-widget elementor-widget-wd_title\" data-id=\"567ab554\" data-element_type=\"widget\" data-widget_type=\"wd_title.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"title-wrapper wd-set-mb reset-last-child wd-title-color-default wd-title-style-default wd-title-size-large text-right\">\n\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"title-subtitle subtitle-color-default subtitle-style-default wd-fontsize-xs\">\n\t\t\t\t\t\u5168\u7f8e\u8bda\u9080\u53f8\u673a\u52a0\u5165\t\t\t\t<\/div>\n\t\t\t\n\t\t\t<div class=\"liner-continer\">\n\t\t\t\t<h4 class=\"woodmart-title-container title wd-fontsize-xxl\">\u6210\u4e3a\u5408\u4f5c\u4f19\u4f34<\/h4> \n\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t<div class=\"title-after_title reset-last-child wd-fontsize-s\">\n\t\t\t\t\t<h4>\u4e0e\u961a\u540c\u884c \u4e00\u8d77\u53d1\u5c55\u60a8\u7684\u4e1a\u52a1<\/h4>\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-4d02e362\" data-id=\"4d02e362\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0e2ca85 elementor-widget elementor-widget-wp-widget-fluentform_widget\" data-id=\"0e2ca85\" data-element_type=\"widget\" data-widget_type=\"wp-widget-fluentform_widget.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class='fluentform ff-default fluentform_wrapper_5 ffs_default_wrap'><form data-form_id=\"5\" id=\"fluentform_5\" class=\"frm-fluent-form fluent_form_5 ff-el-form-top ff_form_instance_5_1 ff-form-loading ff-form-has-steps ffs_default\" data-form_instance=\"ff_form_instance_5_1\" method=\"POST\" data-turnstile_key=\"0x4AAAAAABhD30k2XfWqtCjS\" ><fieldset  style=\"border: none!important;margin: 0!important;padding: 0!important;background-color: transparent!important;box-shadow: none!important;outline: none!important; min-inline-size: 100%;\">\n                    <legend class=\"ff_screen_reader_title\" style=\"display: block; margin: 0!important;padding: 0!important;height: 0!important;text-indent: -999999px;width: 0!important;overflow:hidden;\">\u53f8\u673a\u6ce8\u518cForm (#5)<\/legend><p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"ak_\"><label>&#916;<textarea name=\"ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"ak_js\" value=\"177\"\/><script>document.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );<\/script><\/p><input type='hidden' name='__fluent_form_embded_post_id' value='31544' \/><input type=\"hidden\" id=\"_fluentform_5_fluentformnonce\" name=\"_fluentform_5_fluentformnonce\" value=\"97493a4383\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/en\/wp-json\/wp\/v2\/pages\/31544\" \/><div class='ff-step-container' data-name=\"step_start-5_12\" data-disable_auto_focus=\"yes\" data-enable_auto_slider=\"yes\" data-enable_step_data_persistency=\"yes\" data-enable_step_page_resume=\"yes\" data-animation_type=\"fade\" ><div class='ff-step-header'><ul class='ff-step-titles'><li class='ff_active'><span>\u7533\u8bf7\u4eba<\/span><\/li><li><span>\u9a7e\u9a76\u8bc1<\/span><\/li><li><span>\u8f66\u8f86<\/span><\/li><li><span>\u4e0a\u4f20<\/span><\/li><li><span>\u8865\u5145<\/span><\/li><li><span>\u786e\u8ba4<\/span><\/li><\/ul><\/div><span class='ff_step_start'><\/span><div class='ff-step-body'><div class=\"fluentform-step active\" data-name=\"step_start-5_12\" data-disable_auto_focus=\"yes\" data-enable_auto_slider=\"yes\" data-enable_step_data_persistency=\"yes\" data-enable_step_page_resume=\"yes\" data-animation_type=\"fade\" ><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-5_1\" ><\/div><div data-type=\"name-element\" data-name=\"names\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_5_names_first_name_' id='label_ff_5_names_first_name_' >\u540d\u5b57<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[first_name]\" id=\"ff_5_names_first_name_\" class=\"ff-el-form-control\" placeholder=\"\u8f93\u5165\u60a8\u7684\u540d\u5b57\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell '><div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_5_names_last_name_' id='label_ff_5_names_last_name_' >\u59d3<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[last_name]\" id=\"ff_5_names_last_name_\" class=\"ff-el-form-control\" placeholder=\"\u8f93\u5165\u60a8\u7684\u59d3\u6c0f\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_1\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_5_numeric_field' id='label_ff_5_numeric_field' aria-label=\"\u5e74\u9f84\">\u5e74\u9f84<\/label><\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric_field\" id=\"ff_5_numeric_field\" class=\"ff-el-form-control\" data-name=\"numeric_field\" inputmode=\"numeric\" step=\"any\" min=\"21\" aria-valuemin=\"21\" max=\"55\" aria-valuemax=\"55\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_5_phone' id='label_ff_5_phone' aria-label=\"\u7535\u8bdd\u53f7\u7801\">\u7535\u8bdd\u53f7\u7801<\/label><\/div><div class='ff-el-input--content'><input name=\"phone\" class=\"ff-el-form-control ff-el-phone\" type=\"tel\" placeholder=\"Mobile Number\" data-name=\"phone\" id=\"ff_5_phone\" inputmode=\"tel\"  aria-invalid='false' aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_5_dropdown' id='label_ff_5_dropdown' aria-label=\"\u6027\u522b\">\u6027\u522b<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown\" id=\"ff_5_dropdown\" class=\"ff-el-form-control\" data-name=\"dropdown\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_5_dropdown\"><option value=\"\">- Select -<\/option><option value=\"\u7537\"  selected>\u7537<\/option><option value=\"\u5973\"  >\u5973<\/option><\/select><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_5_email' id='label_ff_5_email' aria-label=\"\u7535\u5b50\u90ae\u7bb1\">\u7535\u5b50\u90ae\u7bb1<\/label><\/div><div class='ff-el-input--content'><input type=\"email\" name=\"email\" id=\"ff_5_email\" class=\"ff-el-form-control\" placeholder=\"Email Address\" data-name=\"email\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><div class=\"ff-name-address-wrapper fluent-address\" data-type=\"address-element\" data-name=\"address_1\" ><div class='ff-el-input--label'><label aria-label=\"\u5c45\u4f4f\u57ce\u5e02\">\u5c45\u4f4f\u57ce\u5e02<\/label><\/div><div class='ff-el-input--content'><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_5_address_1_city_' id='label_ff_5_address_1_city_' aria-label=\"\u57ce\u5e02\">\u57ce\u5e02<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[city]\" id=\"ff_5_address_1_city_\" class=\"ff-el-form-control\" placeholder=\"\u57ce\u5e02\" data-key_name=\"city\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_5_address_1_state_' id='label_ff_5_address_1_state_' aria-label=\"\u5dde\">\u5dde<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[state]\" id=\"ff_5_address_1_state_\" class=\"ff-el-form-control\" placeholder=\"\u5dde\" data-key_name=\"state\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group  ff_list_inline'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"\u53ef\u5de5\u4f5c\u7684\u65f6\u95f4\u6bb5\">\u53ef\u5de5\u4f5c\u7684\u65f6\u95f4\u6bb5<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_26c49c0548ef1cf6ef682a26979414d9'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"\u767d\u5929\"  id='checkbox_26c49c0548ef1cf6ef682a26979414d9' aria-label='\u767d\u5929' aria-invalid='false' aria-required=true> <span>\u767d\u5929<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_5a7cc98ca59f89b513bb764553835219'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"\u665a\u4e0a\"  id='checkbox_5a7cc98ca59f89b513bb764553835219' aria-label='\u665a\u4e0a' aria-invalid='false' aria-required=true> <span>\u665a\u4e0a<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_a27eb8bec8871f29f91aa6ec8bbf1d9d'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"\u5468\u672b\"  id='checkbox_a27eb8bec8871f29f91aa6ec8bbf1d9d' aria-label='\u5468\u672b' aria-invalid='false' aria-required=true> <span>\u5468\u672b<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_b77be34ff5f0438118aa2191e4d0eaa2'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"\u8282\u5047\u65e5\"  id='checkbox_b77be34ff5f0438118aa2191e4d0eaa2' aria-label='\u8282\u5047\u65e5' aria-invalid='false' aria-required=true> <span>\u8282\u5047\u65e5<\/span><\/label><\/div><div class=\"ff-el-help-message\">\u5de5\u4f5c\u65f6\u95f4\u53ef\u591a\u9009<\/div><\/div><\/div><div class='step-nav ff_step_nav_last'><button style='float: left;'  type='button' data-action='prev' class='ff-btn ff-btn-prev ff-btn-secondary' aria-label='\u4e0a\u4e00\u9875'>\u4e0a\u4e00\u9875<\/button><button style='float: right;'  type='button' data-action='next' class='ff-float-right ff-btn ff-btn-next ff-btn-secondary' aria-label='\u4e0b\u4e00\u9875'>\u4e0b\u4e00\u9875<\/button><\/div><\/div><div style='display: none;' class=\" fluentform-step\" data-name=\"form_step-5_2\" ><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-5_3\" ><p>\u8bc1\u4ef6\u4fe1\u606f<\/p><\/div><div data-name=\"ff_cn_id_2\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_5_input_text_1' id='label_ff_5_input_text_1' aria-label=\"\u9a7e\u7167\u53f7\u7801\">\u9a7e\u7167\u53f7\u7801<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_1\" class=\"ff-el-form-control\" data-name=\"input_text_1\" id=\"ff_5_input_text_1\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_5_datetime' id='label_ff_5_datetime' aria-label=\"\u9a7e\u7167\u6709\u6548\u671f\">\u9a7e\u7167\u6709\u6548\u671f<\/label><\/div><div class='ff-el-input--content'><input  aria-label='\u9a7e\u7167\u6709\u6548\u671f Use arrow keys to navigate dates. Press enter to select a date.'  aria-haspopup='dialog' data-type-datepicker data-format='d\/m\/Y' type=\"text\" name=\"datetime\" id=\"ff_5_datetime\" class=\"ff-el-form-control ff-el-datepicker\" data-name=\"datetime\"  aria-invalid='false' aria-required=true><\/div><\/div><\/div><\/div><div class='ff-el-group  ff_list_inline'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"\u662f\u5426\u6709\u5546\u7528\u9a7e\u7167\">\u662f\u5426\u6709\u5546\u7528\u9a7e\u7167<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_af44cfcdafac8e3d5cb959e04829bafd'><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u5426\"  id='input_radio_af44cfcdafac8e3d5cb959e04829bafd' aria-label='\u5426' aria-invalid='false' aria-required=true> <span>\u5426<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_464e5eec350d646ddf42c03f0dd7fb3e'><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u662f\"  id='input_radio_464e5eec350d646ddf42c03f0dd7fb3e' aria-label='\u662f' aria-invalid='false' aria-required=true> <span>\u662f<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group  ff_list_inline'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"\u662f\u5426\u6709TCP\u8bc1\">\u662f\u5426\u6709TCP\u8bc1<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_1_aec5b6d3b5acfe857248e0ed170a05ab'><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u5426\"  id='input_radio_1_aec5b6d3b5acfe857248e0ed170a05ab' aria-label='\u5426' aria-invalid='false' aria-required=true> <span>\u5426<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_1_343fe354b9d52bfee754d3f66087626f'><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u662f\"  id='input_radio_1_343fe354b9d52bfee754d3f66087626f' aria-label='\u662f' aria-invalid='false' aria-required=true> <span>\u662f<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_5_input_text_2' id='label_ff_5_input_text_2' aria-label=\"\u586b\u5199TCP\u7f16\u53f7\">\u586b\u5199TCP\u7f16\u53f7<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_2\" class=\"ff-el-form-control\" data-name=\"input_text_2\" id=\"ff_5_input_text_2\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group  ff_list_inline'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"\u662f\u5426\u540c\u610f\u8fdb\u884c\u80cc\u666f\u68c0\u67e5\">\u662f\u5426\u540c\u610f\u8fdb\u884c\u80cc\u666f\u68c0\u67e5<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_2_474290a82bc99cff2698462f617839f1'><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u5426\"  id='input_radio_2_474290a82bc99cff2698462f617839f1' aria-label='\u5426' aria-invalid='false' aria-required=false> <span>\u5426<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_2_13f0dcaef04fec7664a39a43ac3e7925'><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u662f\"  id='input_radio_2_13f0dcaef04fec7664a39a43ac3e7925' aria-label='\u662f' aria-invalid='false' aria-required=false> <span>\u662f<\/span><\/label><\/div><\/div><\/div><div class='step-nav ff_step_nav_last'><button style='float: left;'  type='button' data-action='prev' class='ff-btn ff-btn-prev ff-btn-secondary' aria-label='\u4e0a\u4e00\u9875'>\u4e0a\u4e00\u9875<\/button><button style='float: right;'  type='button' data-action='next' class='ff-float-right ff-btn ff-btn-next ff-btn-secondary' aria-label='\u4e0b\u4e00\u9875'>\u4e0b\u4e00\u9875<\/button><\/div><\/div><div style='display: none;' class=\" fluentform-step\" data-name=\"form_step-5_4\" ><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-5_5\" ><p>\u8f66\u8f86\u4fe1\u606f<\/p><\/div><div data-name=\"ff_cn_id_3\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_5_dropdown_1' id='label_ff_5_dropdown_1' aria-label=\"\u8f66\u8f86\u54c1\u724c\">\u8f66\u8f86\u54c1\u724c<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_1\" id=\"ff_5_dropdown_1\" class=\"ff-el-form-control\" data-name=\"dropdown_1\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_5_dropdown_1\"><option value=\"\">- \u9009\u62e9 -<\/option><option value=\"\u4e30\u7530\uff08Toyota\uff09\"  >\u4e30\u7530\uff08Toyota\uff09<\/option><option value=\"\u672c\u7530\uff08Honda\uff09\"  >\u672c\u7530\uff08Honda\uff09<\/option><option value=\"\u65e5\u4ea7\uff08Nissan\uff09\"  >\u65e5\u4ea7\uff08Nissan\uff09<\/option><option value=\"\u96ea\u4f5b\u5170\uff08Chevrolet\uff09\"  >\u96ea\u4f5b\u5170\uff08Chevrolet\uff09<\/option><option value=\"\u798f\u7279\uff08Ford\uff09\"  >\u798f\u7279\uff08Ford\uff09<\/option><option value=\"\u5b9d\u9a6c\uff08BMW\uff09\"  >\u5b9d\u9a6c\uff08BMW\uff09<\/option><option value=\"\u5954\u9a70\uff08Mercedes-Benz\uff09\"  >\u5954\u9a70\uff08Mercedes-Benz\uff09<\/option><option value=\"\u5965\u8fea\uff08Audi\uff09\"  >\u5965\u8fea\uff08Audi\uff09<\/option><option value=\"\u96f7\u514b\u8428\u65af\uff08Lexus\uff09\"  >\u96f7\u514b\u8428\u65af\uff08Lexus\uff09<\/option><option value=\"\u5927\u4f17\uff08Volkswagen\uff09\"  >\u5927\u4f17\uff08Volkswagen\uff09<\/option><option value=\"\u82f1\u83f2\u5c3c\u8fea\uff08Infiniti\uff09\"  >\u82f1\u83f2\u5c3c\u8fea\uff08Infiniti\uff09<\/option><option value=\"\u6c83\u5c14\u6c83\uff08Volvo\uff09\"  >\u6c83\u5c14\u6c83\uff08Volvo\uff09<\/option><option value=\"\u8def\u864e\uff08Land Rover\uff09\"  >\u8def\u864e\uff08Land Rover\uff09<\/option><option value=\"\u5409\u666e\uff08Jeep\uff09\"  >\u5409\u666e\uff08Jeep\uff09<\/option><option value=\"\u7279\u65af\u62c9\uff08Tesla\uff09\"  >\u7279\u65af\u62c9\uff08Tesla\uff09<\/option><option value=\"\u9053\u5947\uff08Dodge\uff09\"  >\u9053\u5947\uff08Dodge\uff09<\/option><option value=\"\u73b0\u4ee3\uff08Hyundai\uff09\"  >\u73b0\u4ee3\uff08Hyundai\uff09<\/option><option value=\"\u8d77\u4e9a\uff08Kia\uff09\"  >\u8d77\u4e9a\uff08Kia\uff09<\/option><option value=\"\u522b\u514b\uff08Buick\uff09\"  >\u522b\u514b\uff08Buick\uff09<\/option><option value=\"GMC\uff08GMC\uff09\"  >GMC\uff08GMC\uff09<\/option><option value=\"\u65af\u5df4\u9c81\uff08Subaru\uff09\"  >\u65af\u5df4\u9c81\uff08Subaru\uff09<\/option><option value=\"\u9a6c\u81ea\u8fbe\uff08Mazda\uff09\"  >\u9a6c\u81ea\u8fbe\uff08Mazda\uff09<\/option><option value=\"\u514b\u83b1\u65af\u52d2\uff08Chrysler\uff09\"  >\u514b\u83b1\u65af\u52d2\uff08Chrysler\uff09<\/option><option value=\"\u516c\u7f8a\uff08Ram\uff09\"  >\u516c\u7f8a\uff08Ram\uff09<\/option><option value=\"\u51ef\u8fea\u62c9\u514b\uff08Cadillac\uff09\"  >\u51ef\u8fea\u62c9\u514b\uff08Cadillac\uff09<\/option><option value=\"\u6797\u80af\uff08Lincoln\uff09\"  >\u6797\u80af\uff08Lincoln\uff09<\/option><\/select><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_5_rangeslider' id='label_ff_5_rangeslider' aria-label=\"\u8f66\u8f86\u5e74\u4efd\">\u8f66\u8f86\u5e74\u4efd<\/label><\/div><div class='ff-el-input--content'><div class='ff_slider_wrapper'><input name=\"rangeslider\" class=\"ff-el-form-control\" value=\"0\" min=\"2019\" max=\"2027\" type=\"range\" data-name=\"rangeslider\" id=\"ff_5_rangeslider\" data-calc_value=\"0\"  aria-invalid='false' aria-required=true><div class='ff_range_value'>0<\/div><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_5_input_text_3' id='label_ff_5_input_text_3' aria-label=\"\u8f66\u8f86\u989c\u8272\">\u8f66\u8f86\u989c\u8272<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_3\" class=\"ff-el-form-control\" data-name=\"input_text_3\" id=\"ff_5_input_text_3\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_5_datetime_1' id='label_ff_5_datetime_1' aria-label=\"\u4fdd\u9669\u6709\u6548\u671f\">\u4fdd\u9669\u6709\u6548\u671f<\/label><\/div><div class='ff-el-input--content'><input  aria-label='\u4fdd\u9669\u6709\u6548\u671f Use arrow keys to navigate dates. Press enter to select a date.'  aria-haspopup='dialog' data-type-datepicker data-format='d\/m\/Y' type=\"text\" name=\"datetime_1\" id=\"ff_5_datetime_1\" class=\"ff-el-form-control ff-el-datepicker\" data-name=\"datetime_1\"  aria-invalid='false' aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_5_input_text' id='label_ff_5_input_text' aria-label=\"\u8f66\u578b\u53f7\">\u8f66\u578b\u53f7<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text\" class=\"ff-el-form-control\" data-name=\"input_text\" id=\"ff_5_input_text\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_5_numeric_field_2' id='label_ff_5_numeric_field_2' aria-label=\"\u884c\u9a76\u91cc\u7a0b\">\u884c\u9a76\u91cc\u7a0b<\/label><\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric_field_2\" id=\"ff_5_numeric_field_2\" class=\"ff-el-form-control\" data-name=\"numeric_field_2\" inputmode=\"numeric\" step=\"any\" min=\"100\" aria-valuemin=\"100\" max=\"100000\" aria-valuemax=\"100000\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_5_dropdown_2' id='label_ff_5_dropdown_2' aria-label=\"\u8f66\u8f86\u5ea7\u4f4d\u6570\">\u8f66\u8f86\u5ea7\u4f4d\u6570<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_2\" id=\"ff_5_dropdown_2\" class=\"ff-el-form-control\" data-name=\"dropdown_2\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_5_dropdown_2\"><option value=\"\">- \u9009\u62e9 -<\/option><option value=\"1\"  >1<\/option><option value=\"2\"  >2<\/option><option value=\"3\"  >3<\/option><option value=\"4\"  >4<\/option><option value=\"5\"  >5<\/option><option value=\"6\"  >6<\/option><option value=\"7\"  >7<\/option><option value=\"8\"  >8<\/option><option value=\"9\"  >9<\/option><option value=\"10\"  >10<\/option><option value=\"11\"  >11<\/option><option value=\"12\"  >12<\/option><\/select><\/div><\/div><div class='ff-el-group  ff_list_inline'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"\u662f\u5426\u6709\u5546\u7528\u4fdd\u9669\">\u662f\u5426\u6709\u5546\u7528\u4fdd\u9669<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_3_af2ab34dcb401eab02dd418817d61951'><input  type=\"radio\" name=\"input_radio_3\" data-name=\"input_radio_3\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u662f\"  id='input_radio_3_af2ab34dcb401eab02dd418817d61951' aria-label='\u662f' aria-invalid='false' aria-required=false> <span>\u662f<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_3_4d8a995e86f60822459639ed6d9b95c4'><input  type=\"radio\" name=\"input_radio_3\" data-name=\"input_radio_3\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u5426\"  id='input_radio_3_4d8a995e86f60822459639ed6d9b95c4' aria-label='\u5426' aria-invalid='false' aria-required=false> <span>\u5426<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div class='step-nav ff_step_nav_last'><button style='float: left;'  type='button' data-action='prev' class='ff-btn ff-btn-prev ff-btn-secondary' aria-label='\u4e0a\u4e00\u9875'>\u4e0a\u4e00\u9875<\/button><button style='float: right;'  type='button' data-action='next' class='ff-float-right ff-btn ff-btn-next ff-btn-secondary' aria-label='\u4e0b\u4e00\u9875'>\u4e0b\u4e00\u9875<\/button><\/div><\/div><div style='display: none;' class=\" fluentform-step\" data-name=\"form_step-5_6\" ><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-5_7\" ><p>\u4e0a\u4f20\u6750\u6599<\/p><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_5_file-upload_1' id='label_ff_5_file-upload_1' aria-label=\"\u9a7e\u9a76\u8bc1\">\u9a7e\u9a76\u8bc1<\/label><\/div><div class='ff-el-input--content'><label for='ff_5_file-upload_1' class='ff_file_upload_holder'><span class='ff_upload_btn ff-btn' tabindex='0'>\u4e0a\u4f20<\/span> <input type=\"file\" name=\"file-upload\" id=\"ff_5_file-upload_1\" class=\"ff-el-form-control  ff-screen-reader-element\" data-name=\"file-upload\" multiple=\"1\"  aria-invalid='false' aria-required=true><\/label><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_5_file-upload_3_1' id='label_ff_5_file-upload_3_1' aria-label=\"\u6c7d\u8f66\u4fdd\u9669\u8bc1\u660e\">\u6c7d\u8f66\u4fdd\u9669\u8bc1\u660e<\/label><\/div><div class='ff-el-input--content'><label for='ff_5_file-upload_3_1' class='ff_file_upload_holder'><span class='ff_upload_btn ff-btn' tabindex='0'>\u4e0a\u4f20<\/span> <input type=\"file\" name=\"file-upload_3\" id=\"ff_5_file-upload_3_1\" class=\"ff-el-form-control  ff-screen-reader-element\" data-name=\"file-upload_3\" multiple=\"1\"  aria-invalid='false' aria-required=false><\/label><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_5_file-upload_4_1' id='label_ff_5_file-upload_4_1' aria-label=\"\u8f66\u8f86\u767b\u8bb0\uff08Registration\uff09\u6587\u4ef6\">\u8f66\u8f86\u767b\u8bb0\uff08Registration\uff09\u6587\u4ef6<\/label><\/div><div class='ff-el-input--content'><label for='ff_5_file-upload_4_1' class='ff_file_upload_holder'><span class='ff_upload_btn ff-btn' tabindex='0'>\u4e0a\u4f20<\/span> <input type=\"file\" name=\"file-upload_4\" id=\"ff_5_file-upload_4_1\" class=\"ff-el-form-control  ff-screen-reader-element\" data-name=\"file-upload_4\" multiple=\"1\"  aria-invalid='false' aria-required=false><\/label><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_5_file-upload_5_1' id='label_ff_5_file-upload_5_1' aria-label=\"TCP\u8bc1\uff08\u6709\u7684\u8bdd\u4e0a\u4f20\uff09\">TCP\u8bc1\uff08\u6709\u7684\u8bdd\u4e0a\u4f20\uff09<\/label><\/div><div class='ff-el-input--content'><label for='ff_5_file-upload_5_1' class='ff_file_upload_holder'><span class='ff_upload_btn ff-btn' tabindex='0'>\u4e0a\u4f20<\/span> <input type=\"file\" name=\"file-upload_5\" id=\"ff_5_file-upload_5_1\" class=\"ff-el-form-control  ff-screen-reader-element\" data-name=\"file-upload_5\" multiple=\"1\"  aria-invalid='false' aria-required=false><\/label><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_5_file-upload_1_1' id='label_ff_5_file-upload_1_1' aria-label=\"\u8f66\u8f86\u5916\u90e8\u7167\u7247\">\u8f66\u8f86\u5916\u90e8\u7167\u7247<\/label><\/div><div class='ff-el-input--content'><label for='ff_5_file-upload_1_1' class='ff_file_upload_holder'><span class='ff_upload_btn ff-btn' tabindex='0'>\u4e0a\u4f20<\/span> <input type=\"file\" name=\"file-upload_1\" id=\"ff_5_file-upload_1_1\" class=\"ff-el-form-control  ff-screen-reader-element\" data-name=\"file-upload_1\" multiple=\"1\"  aria-invalid='false' aria-required=false><\/label><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_5_file-upload_2_1' id='label_ff_5_file-upload_2_1' aria-label=\"\u8f66\u8f86\u5185\u90e8\u7167\u7247\">\u8f66\u8f86\u5185\u90e8\u7167\u7247<\/label><\/div><div class='ff-el-input--content'><label for='ff_5_file-upload_2_1' class='ff_file_upload_holder'><span class='ff_upload_btn ff-btn' tabindex='0'>\u4e0a\u4f20<\/span> <input type=\"file\" name=\"file-upload_2\" id=\"ff_5_file-upload_2_1\" class=\"ff-el-form-control  ff-screen-reader-element\" data-name=\"file-upload_2\" multiple=\"1\"  aria-invalid='false' aria-required=false><\/label><\/div><\/div><div class='step-nav ff_step_nav_last'><button style='float: left;'  type='button' data-action='prev' class='ff-btn ff-btn-prev ff-btn-secondary' aria-label='\u4e0a\u4e00\u9875'>\u4e0a\u4e00\u9875<\/button><button style='float: right;'  type='button' data-action='next' class='ff-float-right ff-btn ff-btn-next ff-btn-secondary' aria-label='\u4e0b\u4e00\u9875'>\u4e0b\u4e00\u9875<\/button><\/div><\/div><div style='display: none;' class=\" fluentform-step\" data-name=\"form_step-5_8\" ><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-5_9\" ><p>\u8865\u5145\u4fe1\u606f<\/p><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_5_description' id='label_ff_5_description' aria-label=\"\u81ea\u6211\u4ecb\u7ecd\uff08\u53ef\u9009\u586b\uff09\">\u81ea\u6211\u4ecb\u7ecd\uff08\u53ef\u9009\u586b\uff09<\/label><\/div><div class='ff-el-input--content'><textarea aria-required=\"false\" aria-labelledby=\"label_ff_5_description\" name=\"description\" id=\"ff_5_description\" class=\"ff-el-form-control\" rows=\"3\" cols=\"2\" data-name=\"description\" ><\/textarea><\/div><\/div><div class='ff-el-group  ff_list_inline'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"\u6709\u65e0\u7c7b\u4f3c\u7ecf\u9a8c\">\u6709\u65e0\u7c7b\u4f3c\u7ecf\u9a8c<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_4_cde54bdc3bf8f45814e4e622778a61d5'><input  type=\"radio\" name=\"input_radio_4\" data-name=\"input_radio_4\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u6709\"  id='input_radio_4_cde54bdc3bf8f45814e4e622778a61d5' aria-label='\u6709' aria-invalid='false' aria-required=true> <span>\u6709<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_4_b1fcff22dfda90e9053036c09d115286'><input  type=\"radio\" name=\"input_radio_4\" data-name=\"input_radio_4\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u65e0\"  id='input_radio_4_b1fcff22dfda90e9053036c09d115286' aria-label='\u65e0' aria-invalid='false' aria-required=true> <span>\u65e0<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_5_description_1' id='label_ff_5_description_1' aria-label=\"\u5176\u4ed6\u5907\u6ce8\u6216\u7559\u8a00\">\u5176\u4ed6\u5907\u6ce8\u6216\u7559\u8a00<\/label><\/div><div class='ff-el-input--content'><textarea aria-required=\"false\" aria-labelledby=\"label_ff_5_description_1\" name=\"description_1\" id=\"ff_5_description_1\" class=\"ff-el-form-control\" rows=\"3\" cols=\"2\" data-name=\"description_1\" ><\/textarea><\/div><\/div><div class='step-nav ff_step_nav_last'><button style='float: left;'  type='button' data-action='prev' class='ff-btn ff-btn-prev ff-btn-secondary' aria-label='\u4e0a\u4e00\u9875'>\u4e0a\u4e00\u9875<\/button><button style='float: right;'  type='button' data-action='next' class='ff-float-right ff-btn ff-btn-next ff-btn-secondary' aria-label='\u4e0b\u4e00\u9875'>\u4e0b\u4e00\u9875<\/button><\/div><\/div><div style='display: none;' class=\" fluentform-step\" data-name=\"form_step-5_10\" ><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-5_11\" ><div style=\"max-width: 800px;margin: auto;padding: 20px;font-family: Arial, sans-serif;line-height: 1.8;color: #333\">\n<h2 style=\"color: #2c3e50\">\ud83c\udfc6 \u5408\u4f5c\u4f19\u4f34\u52a0\u5165<\/h2>\n<p>\u611f\u8c22\u60a8\u63d0\u4f9b\u8be6\u7ec6\u4fe1\u606f\u3002\u6211\u4eec\u975e\u5e38\u671f\u5f85\u4e0e\u60a8\u5408\u4f5c\uff0c\u52a0\u5165 <strong>\u4e07\u5229<\/strong>\uff0c\u6210\u4e3a\u6211\u4eec\u7684\u53f8\u673a\u5408\u4f5c\u4f19\u4f34\u3002<\/p>\n<h3 style=\"color: #2c3e50\">\u4f5c\u4e3a\u4e07\u5229\u5408\u4f5c\u4f19\u4f34\uff0c\u60a8\u5c06\u4eab\u6709\u4ee5\u4e0b\u4f18\u52bf\uff1a<\/h3>\n<ul>\n<li>\ud83d\ude97 <strong>\u7a33\u5b9a\u53ef\u9760\u7684\u6536\u5165<\/strong> \u2014\u2014 \u6bcf\u4e00\u7b14\u8ba2\u5355\u6309\u65f6\u7ed3\u7b97<\/li>\n<li>\ud83c\udf0f <strong>\u4f18\u8d28\u7684\u5168\u7403\u5ba2\u6237\u7fa4<\/strong> \u2014\u2014 \u4f18\u5148\u9009\u62e9\u7684\u63a5\u9001\u670d\u52a1<\/li>\n<li>\ud83d\udce2 <strong>\u5168\u7f8e\u53ca\u6e2f\u6fb3\u53f0\u7f51\u7edc\u63a8\u5e7f<\/strong> \u2014\u2014 \u6301\u7eed\u4e3a\u60a8\u5e26\u6765\u5ba2\u6237<\/li>\n<li>\ud83d\udd52 <strong>\u7075\u6d3b\u5de5\u4f5c\u65f6\u95f4<\/strong> \u2014\u2014 \u81ea\u7531\u5b89\u6392\uff0c\u586b\u8865\u60a8\u7684\u7a7a\u95f2\u65f6\u95f4<\/li>\n<\/ul>\n<h3 style=\"color: #2c3e50\">\ud83e\udd1d \u5408\u4f5c\u4f19\u4f34\u534f\u8bae\u8bf4\u660e<\/h3>\n<p>\u4f5c\u4e3a <strong>\u4e07\u5229\u5408\u4f5c\u53f8\u673a\/\u5408\u4f5c\u4f19\u4f34<\/strong>\uff0c\u60a8\u5c06\u4ee5<strong>\u72ec\u7acb\u627f\u5305\u5546\uff08Independent Contractor\uff09<\/strong>\u8eab\u4efd\u8fd0\u8425\u3002\u60a8\u4f7f\u7528\u81ea\u6709\u8f66\u8f86\uff0c\u72ec\u7acb\u7ba1\u7406\u4e1a\u52a1\uff0c\u81ea\u4e3b\u5b89\u6392\u65f6\u95f4\u3002<\/p>\n<p><strong>\u8bf7\u6ce8\u610f\uff1a<\/strong><\/p>\n<ul>\n<li>\u5408\u4f5c\u4f19\u4f34\u5e76\u975e <strong>\u4e07\u5229<\/strong> \u7684\u5458\u5de5\u3001\u4ee3\u7406\u4eba\u6216\u5408\u8d44\u4eba\u3002<\/li>\n<li><strong>\u4e07\u5229<\/strong> \u4e0d\u63d0\u4f9b\u5de5\u4f24\u8865\u507f\u3001\u5931\u4e1a\u6551\u6d4e\u3001\u6b8b\u75be\u4fdd\u9669\u6216\u4efb\u4f55\u5f62\u5f0f\u7684\u96c7\u4f63\u798f\u5229\u3002<\/li>\n<li>\u5408\u4f5c\u4f19\u4f34\u9700\u81ea\u884c\u8d1f\u8d23\u6240\u6709\u9002\u7528\u7684\u7a0e\u8d39\uff0c\u5305\u62ec\u4f46\u4e0d\u9650\u4e8e\uff1a\n<ul>\n<li>\u8054\u90a6\u4fdd\u9669\u7f34\u6b3e\uff08FICA\uff09<\/li>\n<li>\u8054\u90a6\u3001\u5dde\u548c\u5730\u65b9\u7684\u6240\u5f97\u7a0e<\/li>\n<li>\u5931\u4e1a\u4fdd\u9669\uff08UI\uff09<\/li>\n<li>\u5de5\u4f24\u8d54\u507f\uff08Workers' Compensation\uff09<\/li>\n<li>\u5546\u4e1a\u4fdd\u9669\u548c\u8f66\u8f86\u4fdd\u9669<\/li>\n<\/ul>\n<\/li>\n<li><strong>\u4e07\u5229<\/strong> \u4e0d\u4f1a\u4ece\u652f\u4ed8\u7ed9\u5408\u4f5c\u4f19\u4f34\u7684\u62a5\u916c\u4e2d\u4ee3\u6263\u4efb\u4f55\u7a0e\u8d39\u6216\u4fdd\u9669\u3002<\/li>\n<li>\u5408\u4f5c\u4f19\u4f34\u65e0\u6743\u4ee5 <strong>\u4e07\u5229<\/strong> \u540d\u4e49\u4f5c\u51fa\u4efb\u4f55\u627f\u8bfa\u3001\u58f0\u660e\uff0c\u6216\u7b7e\u7f72\u4efb\u4f55\u5408\u540c\u3002<\/li>\n<\/ul>\n<h4 style=\"color: #2c3e50\">\u2705 \u52a0\u5165\u6211\u4eec\uff0c\u4e00\u8d77\u521b\u9020\u66f4\u597d\u7684\u672a\u6765\uff01<\/h4>\n<\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"\u4e2a\u4eba\u4fe1\u606f\">\u4e2a\u4eba\u4fe1\u606f<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_1_51cb185b6af0f08f0cf58414afb5054f'><input  type=\"checkbox\" name=\"checkbox_1[]\" data-name=\"checkbox_1\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"\u6211\u786e\u8ba4\u63d0\u4ea4\u7684\u5168\u90e8\u4fe1\u606f\u771f\u5b9e\u6709\u6548\u3002\"  id='checkbox_1_51cb185b6af0f08f0cf58414afb5054f' aria-label='\u6211\u786e\u8ba4\u63d0\u4ea4\u7684\u5168\u90e8\u4fe1\u606f\u771f\u5b9e\u6709\u6548\u3002' aria-invalid='false' aria-required=true> <span>\u6211\u786e\u8ba4\u63d0\u4ea4\u7684\u5168\u90e8\u4fe1\u606f\u771f\u5b9e\u6709\u6548\u3002<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"\u5408\u4f5c\u4f19\u4f34\u534f\u8bae\">\u5408\u4f5c\u4f19\u4f34\u534f\u8bae<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_2_5207044c099aed92bca0462a2ba8b0ef'><input  type=\"checkbox\" name=\"checkbox_2[]\" data-name=\"checkbox_2\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\" \u6211\u5df2\u9605\u8bfb\u5e76\u540c\u610f\u300a\u5408\u4f5c\u4f19\u4f34\u534f\u8bae\u300b\u4e2d\u7684\u6240\u6709\u6761\u6b3e\u3002\"  id='checkbox_2_5207044c099aed92bca0462a2ba8b0ef' aria-label='\u6211\u5df2\u9605\u8bfb\u5e76\u540c\u610f\u300a\u5408\u4f5c\u4f19\u4f34\u534f\u8bae\u300b\u4e2d\u7684\u6240\u6709\u6761\u6b3e\u3002' aria-invalid='false' aria-required=true> <span> \u6211\u5df2\u9605\u8bfb\u5e76\u540c\u610f\u300a\u5408\u4f5c\u4f19\u4f34\u534f\u8bae\u300b\u4e2d\u7684\u6240\u6709\u6761\u6b3e\u3002<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"\u7b7e\u540d\">\u7b7e\u540d<\/label><\/div><div class='ff-el-input--content'><input type='text' name='signature' class='force-hide'>\n\n<div class=\"fluentform-signature-pad-wrapper\">\n    <canvas id='signature_5' \n            class='fluentform-signature-pad' \n            data-form-id='5'\n            data-pen-color='#333'\n            data-pen-size='2'\n            style='\n                background-color: #ffffff;\n                border: 2px dashed #FFEB3B;\n                width: 100%;\n            '\n        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required\",\"global_message\":\"\\u8fd9\\u662f\\u5fc5\\u586b\\u680f\",\"global\":true}},\"names[middle_name]\":{\"required\":{\"value\":false,\"message\":\"This field is required\",\"global_message\":\"\\u8fd9\\u662f\\u5fc5\\u586b\\u680f\",\"global\":true}},\"names[last_name]\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global_message\":\"\\u8fd9\\u662f\\u5fc5\\u586b\\u680f\",\"global\":true}},\"numeric_field\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global_message\":\"\\u8fd9\\u662f\\u5fc5\\u586b\\u680f\",\"global\":true},\"numeric\":{\"value\":true,\"message\":\"This field must contain numeric value\",\"global_message\":\"\\u6b64\\u5b57\\u6bb5\\u5fc5\\u987b\\u5305\\u542b\\u6570\\u503c\",\"global\":true},\"min\":{\"value\":\"21\",\"message\":\"Validation fails for minimum value\",\"global_message\":\"\\u6700\\u5c0f\\u503c\\u9a8c\\u8bc1\\u5931\\u8d25\",\"global\":true},\"max\":{\"value\":\"55\",\"message\":\"Validation fails 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