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<view class="content data-v-28c71a46"><view class="memberBanner data-v-28c71a46"><image mode="widthFix" src="../../static/memberBanner.jpg" class="data-v-28c71a46"></image></view><view class="buyBox data-v-28c71a46"><view class="title data-v-28c71a46">请输入您的联系方式</view><view class="formCol data-v-28c71a46"><view class="data-v-28c71a46">宝妈姓名<text style="color:red;" class="data-v-28c71a46">*</text></view><view class="formRight data-v-28c71a46"><input type="text" placeholder="宝妈姓名" class="data-v-28c71a46"/></view></view><view class="formCol data-v-28c71a46"><view class="data-v-28c71a46">手机号码<text style="color:red;" class="data-v-28c71a46">*</text></view><view class="formRight data-v-28c71a46"><input type="text" placeholder="请输入手机号码" class="data-v-28c71a46"/></view></view><view class="formCol data-v-28c71a46"><view class="data-v-28c71a46">宝宝生日/预产期<text style="color:red;" class="data-v-28c71a46">*</text></view><view class="formRight data-v-28c71a46"><picker mode="date" value="{{date}}" start="{{startDate}}" end="{{endDate}}" data-event-opts="{{[['change',[['bindDateChange',['$event']]]]]}}" bindchange="__e" class="data-v-28c71a46"><view class="uni-input data-v-28c71a46">{{date}}</view></picker></view></view><view class="formCol data-v-28c71a46"><view class="data-v-28c71a46">免费福利</view><view class="formRight data-v-28c71a46"><checkbox-group class="checkGroup data-v-28c71a46"><label class="data-v-28c71a46"><checkbox value="cb" checked="true" class="data-v-28c71a46"></checkbox>孕产礼包</label><label class="data-v-28c71a46"><checkbox value="cb" class="data-v-28c71a46"></checkbox>孕妈课堂</label></checkbox-group></view></view></view><view class="payBtn data-v-28c71a46">立即支付</view></view> |