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<block wx:if="{{isLoad}}"><view class="apply-pages"><view class="box"><view class="label">您的姓名</view><view><input class="input" type="text" placeholder="请输入您的姓名" data-event-opts="{{[['input',[['__set_model',['$0','user_name','$event',[]],['form']]]]]}}" value="{{form.user_name}}" bindinput="__e"/></view><view class="label">手机号</view><view><input class="input" type="text" placeholder="请输入手机号" data-event-opts="{{[['input',[['__set_model',['$0','phone','$event',[]],['form']]]]]}}" value="{{form.phone}}" bindinput="__e"/></view><view class="label">申请加入的区域</view><view><input class="input" type="text" placeholder="请输入您想代理的城市" data-event-opts="{{[['input',[['__set_model',['$0','city','$event',[]],['form']]]]]}}" value="{{form.city}}" bindinput="__e"/></view></view><view data-event-opts="{{[['tap',[['submit',['$event']]]]]}}" class="sbubtn" bindtap="__e">提交</view></view></block>