fohow_xcx/packageUser/pages/user/applyLeader/applyLeader.wxml

<view class="bg">
  <view class="newAddress-top"></view>
  <view class="newAddress-line">
    <view class="newAddress-title">姓 名</view>
    <input maxlength="11" class="nameText" placeholder="你的姓名" placeholder-class="text-placeholder" bindinput="bindName" />
    <view class="clean"></view>
  </view>
  <view class="newAddress-line">
  <view class="newAddress-title">手 机</view>
	   <input type="number" maxlength="11" class="nameText" placeholder="你的手机号码" placeholder-class="text-placeholder" bindinput="bindPhone" />
	 <!--<button class="bind-wx" open-type="getPhoneNumber" bindgetphonenumber="getTel">使用微信手机号</button>-->
	</view>
	<view class="newAddress-line">
	  <view class="yzm-textBlock">
	  <view class="newAddress-title">验证码</view>
	    <input type="number" maxlength="11" class="nameText" placeholder="请输入短信验证码" placeholder-class="text-placeholder" bindinput="bindYzm" />
	  </view>
	  <form wx:if="{{ countdown <= 0 }}"  bindsubmit="getYzm" report-submit="{{true}}" class="getyzm">
	    <button formType="submit" class="getyzm-btn">
	      获取验证码
	    </button>
	  </form>
	  <view class="nogetyzm" wx:if="{{ countdown > 0 }}" >重新发送({{countdown}})</view>
	  <view class="clean"></view>
	</view>
    
  <picker mode="region" bindchange="bindRegionChange" value="{{region}}" >
    <view class="newAddress-line">
      <view class="newAddress-title">所在地区</view>
      <view class="newAddress-picker ">
        <image class="newAddress-picker__icon" src="http://fohow.oss-cn-shenzhen.aliyuncs.com/xcx/user/right.png"></image>
        <view class="ellipsis newAddress-picker__text">{{address}}</view>
      </view>
      <view class="clean"></view>
    </view>
  </picker>
  <view class="newAddress-more">
    <view class="newAddress-more__title">详细地址</view>
    <textarea maxlength="120" class="textarea"  auto-height placeholder="如道路、门牌号等"  placeholder-class="text-placeholder" bindinput="bindMore" />
  </view>
  <view class="newAddress-more">
    <view class="newAddress-more__title">备注（选填）</view>
    <textarea maxlength="120" class="textarea"  auto-height placeholder="可留言给客服哦"  placeholder-class="text-placeholder" bindinput="bindRemark" />
  </view>
  <form bindsubmit="save" report-submit="{{true}}" class="newAddress-form">
    <button formType="submit" class="newAddress-btn">
      保存
    </button>
    <p class="submittips">说明：申请后，我们会尽快与您做进一步沟通，请耐心等待。</p>
  </form>
</view>