<div class="pageheader">THÊM KHÁCH</div>
<form method="POST" action="?page=khachthem">
<div class="form">
<input type="hidden" name="action" value="do">
<div class="formleft">Tên khách*</div><div class="formright"><input type="text" name="tenkhach" style="width:100%"></div>
<div class="formleft">Ngày sinh</div><div class="formright"><input type="text" name="ngaysinh"  style="width:100%"></div>
<div class="formleft">Giới tính</div><div class="formright">
<select name="gioitinh" style="width:100%;">
<option value="0"></option>
<option value="1">Nữ</option>
<option value="2">Nam</option>
</select></div>
<div class="formleft">Địa chỉ</div><div class="formright"><input type="text" name="diachi"  style="width:100%"></div>
<div class="formleft">Điện thoại</div><div class="formright"><input type="text" name="dienthoai"  style="width:100%"></div>
<div class="formleft">Email</div><div class="formright"><input type="text" name="email"  style="width:100%"></div>
<div class="formleft">Facebook</div><div class="formright"><input type="text" name="facebook"  style="width:100%"></div>
<div class="formleft">Ngày đến</div><div class="formright"><input type="text" name="ngayden"  style="width:100%"></div>
<div class="formleft">Người giới thiệu</div><div class="formright">
<select name="nguoigioithieu" style="width:100%;"><option value="">{_CONTACT_LIST_}</option></select>
</div>
<div class="formleft">Nhân viên KD</div><div class="formright"><select name="nhanvienkd"  style="width:100%">{_USER_LIST_}</select></div>
<div class="formleft">Ghi chú</div><div class="formright"><input type="text" name="ghichu"  style="width:100%"></div>
<div class="formleft"></div><div class="formright"><input type="submit" value="Ghi" name="B1" style="width:50%;float:left"><input type="reset" value="Nhập lại" name="B2" style="width:50%"></div>
</div>
</form>