1 | <!--{* |
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2 | /* |
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3 | * This file is part of EC-CUBE |
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4 | * |
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5 | * Copyright(c) 2000-2010 LOCKON CO.,LTD. All Rights Reserved. |
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6 | * |
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7 | * http://www.lockon.co.jp/ |
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8 | * |
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9 | * This program is free software; you can redistribute it and/or |
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10 | * modify it under the terms of the GNU General Public License |
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11 | * as published by the Free Software Foundation; either version 2 |
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12 | * of the License, or (at your option) any later version. |
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13 | * |
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14 | * This program is distributed in the hope that it will be useful, |
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15 | * but WITHOUT ANY WARRANTY; without even the implied warranty of |
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16 | * MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE. See the |
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17 | * GNU General Public License for more details. |
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18 | * |
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19 | * You should have received a copy of the GNU General Public License |
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20 | * along with this program; if not, write to the Free Software |
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21 | * Foundation, Inc., 59 Temple Place - Suite 330, Boston, MA 02111-1307, USA. |
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22 | */ |
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23 | *}--> |
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24 | <div align="center">会員情報入力 3/3</div> |
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25 | <hr> |
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26 | <form name="form1" method="post" action="<!--{$smarty.server.PHP_SELF|escape}-->"> |
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27 | <input type="hidden" name="mode" value="confirm"> |
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28 | |
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29 | <font color="#FF0000">*は必須項目です。</font><br> |
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30 | <br> |
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31 | |
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32 | 【都道府県】<font color="#FF0000">*</font><br> |
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33 | <font color="#FF0000"><!--{$arrErr.pref}--></font> |
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34 | <select name="pref"> |
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35 | <option value="">都道府県を選択</option> |
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36 | <!--{html_options options=$arrPref selected=$pref}--> |
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37 | </select><br> |
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38 | |
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39 | 【市区町村】<font color="#FF0000">*</font><br> |
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40 | <font color="#FF0000"><!--{$arrErr.addr01}--></font> |
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41 | <input type="text" name="addr01" value="<!--{$addr01|escape}-->" istyle="1"><br> |
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42 | |
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43 | 【番地】<font color="#FF0000">*</font><br> |
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44 | <font color="#FF0000"><!--{$arrErr.addr02}--></font> |
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45 | <input type="text" name="addr02" value="<!--{$addr02|escape}-->" istyle="1"><br> |
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46 | |
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47 | 【電話番号】<font color="#FF0000">*</font><br> |
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48 | <font color="#FF0000"><!--{$arrErr.tel01}--><!--{$arrErr.tel02}--><!--{$arrErr.tel03}--></font> |
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49 | <!--{assign var="size" value="`$smarty.const.TEL_ITEM_LEN+2`"}--> |
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50 | <input type="text" size="<!--{$size}-->" name="tel01" value="<!--{$tel01|escape}-->" maxlength="<!--{$smarty.const.TEL_ITEM_LEN}-->" istyle="4"> |
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51 | - |
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52 | <input type="text" size="<!--{$size}-->" name="tel02" value="<!--{$tel02|escape}-->" maxlength="<!--{$smarty.const.TEL_ITEM_LEN}-->" istyle="4"> |
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53 | - |
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54 | <input type="text" size="<!--{$size}-->" name="tel03" value="<!--{$tel03|escape}-->" maxlength="<!--{$smarty.const.TEL_ITEM_LEN}-->" istyle="4"><br> |
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55 | |
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56 | 【メールマガジン】<br> |
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57 | お得な情報を希望されますか?<br> |
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58 | 配信希望<input type="checkbox" name="mailmaga_flg" value="on" <!--{if $mailmaga_flg eq 'on' || $mailmaga_flg == 2}-->checked<!--{/if}--> /><br> |
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59 | (希望されない場合はチェックをはずしてください)<br> |
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60 | <br> |
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61 | |
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62 | <input type="submit" name="submit" value="次へ"><br> |
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63 | <input type="submit" name="return" value="戻る"> |
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64 | |
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65 | <!--{foreach from=$list_data key=key item=item}--> |
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66 | <input type="hidden" name="<!--{$key|escape}-->" value="<!--{$item|escape}-->"> |
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67 | <!--{/foreach}--> |
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68 | </form> |
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69 | |
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70 | <br> |
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71 | <hr> |
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72 | |
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73 | <a href="<!--{$smarty.const.MOBILE_URL_CART_TOP}-->" accesskey="9"><!--{9|numeric_emoji}-->かごを見る</a><br> |
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74 | <a href="<!--{$smarty.const.MOBILE_URL_SITE_TOP}-->" accesskey="0"><!--{0|numeric_emoji}-->TOPページへ</a><br> |
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75 | |
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76 | <br> |
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77 | |
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78 | <!-- ▼フッター ここから --> |
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79 | <!--{include file='footer.tpl'}--> |
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80 | <!-- ▲フッター ここまで --> |
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