<ul class="ul-form mt30">
<li><span class="l-t l-t1"><i>*</i>请选择所在地:</span><select class="slt slt-m"><option>福建省</option></select>
<select class="slt slt-m"><option>福州市</option></select>
<select class="slt slt-m"><option>鼓楼区</option></select>
<span class="tips"><span class="p-ico"></span>邮箱号系统已存在!</span>
</li>
<li><span class="l-t l-t1"><i>*</i>街道地址:</span><input type="text" class="ipt w-3"></li>
<li><span class="l-t l-t1"><i>*</i>邮政编号:</span><input type="text" class="ipt"></li>
<li><span class="l-t l-t1"><i>*</i>收货人:</span><input type="text" class="ipt"></li>
<li><span class="l-t l-t1"><i>*</i>手机号:</span><input type="text" class="ipt"></li>
</ul>