1 | <!--{*
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2 | /*
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3 | * Copyright(c) 2000-2007 LOCKON CO.,LTD. All Rights Reserved.
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4 | *
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5 | * http://www.lockon.co.jp/
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6 | */
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7 | *}-->
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8 |
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9 | <!--¢§CONTENTS-->
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10 | <table width="780" border="0" cellspacing="0" cellpadding="0" summary=" ">
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11 | <tr>
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12 | <td bgcolor="#ffffff" align="center" valign="top" height="400">
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13 | <table width="740" border="0" cellspacing="0" cellpadding="0" summary=" ">
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14 | <tr>
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15 | <!--¢§SUB NAVI-->
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16 | <td class="fs12n"><!--{include file=$tpl_subnavi}--></td>
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17 | <!--¢¥SUB NAVI-->
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18 | </tr><tr><td height="25"></td></tr>
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19 | </table>
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20 |
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21 | <!--¢§MAIN CONTENTS-->
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22 | <table width="740" border="0" cellspacing="0" cellpadding="0" summary=" ">
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23 | <tr>
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24 | <td class="fs14n"><strong>¢£¥ì¥Ó¥å¡¼ÅÐÏ¿</strong></td>
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25 | </tr>
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26 | <tr><td height="10"></td></tr>
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27 | </table>
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28 |
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29 | <!--¢§ÅÐÏ¿¥Æ¡¼¥Ö¥ë¤³¤³¤«¤é-->
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30 | <form name="form1" id="form1" method="post" action="">
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31 | <table width="740" border="0" cellspacing="1" cellpadding="5" summary=" " bgcolor="#cccccc">
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32 | <tr class="fs12n">
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33 | <td bgcolor="#f0f0f0" width="110">Åê¹ÆÆü</td>
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34 | <td bgcolor="#ffffff" width="607">
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35 | <select name="year_from">
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36 | <option value="" selected="selected">------</option>
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37 | </select>ǯ
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38 | <select name="month_from">
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39 | <option value="" selected="selected">----</option>
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40 | </select>·î
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41 | <select name="day_from">
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42 | <option value="" selected="selected">----</option>
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43 | </select>Æü</td>
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44 | </tr>
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45 | <tr class="fs12n">
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46 | <td bgcolor="#f0f0f0" width="110">Åê¹Æ¼Ô̾</td>
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47 | <td bgcolor="#ffffff" width="607"><input type="text" name="name" size="30" class="box30" /></td>
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48 | </tr>
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49 | <tr class="fs12n">
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50 | <td bgcolor="#f0f0f0" width="110">ÀÊÌ</td>
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51 | <td bgcolor="#ffffff" width="607"><input type="checkbox" name="sex01" value="ÃËÀ" />ÃËÀ¡¡<input type="checkbox" name="sex02" value="½÷À" />½÷À</td>
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52 | </tr>
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53 | <tr class="fs12n">
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54 | <td bgcolor="#f0f0f0" width="110">¥á¡¼¥ë¥¢¥É¥ì¥¹</td>
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55 | <td bgcolor="#ffffff" width="607"><input type="text" name="mail" size="30" class="box30" /></td>
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56 | </tr>
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57 | <tr class="fs12n">
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58 | <td bgcolor="#f0f0f0" width="110">¾¦ÉÊ̾</td>
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59 | <td bgcolor="#ffffff" width="607"><input type="text" name="product_mname" size="30" class="box30" /></td>
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60 | </tr>
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61 | <tr class="fs12n">
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62 | <td bgcolor="#f0f0f0" width="110">¤ª¤¹¤¹¤á¥ì¥Ù¥ë</td>
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63 | <td bgcolor="#ffffff" width="607"><select name="recomend">
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64 | <option value="" selected="selected">ÁªÂò¤·¤Æ¤¯¤À¤µ¤¤</option>
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65 | <option value="¡ú¡ú¡ú¡ú¡ú">¡ú¡ú¡ú¡ú¡ú</option>
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66 | <option value="¡ú¡ú¡ú¡ú">¡ú¡ú¡ú¡ú</option>
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67 | <option value="¡ú¡ú¡ú">¡ú¡ú¡ú</option>
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68 | <option value="¡ú¡ú">¡ú¡ú</option>
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69 | <option value="¡ú">¡ú</option>
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70 | </select></td>
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71 | </tr>
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72 | <tr class="fs12n">
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73 | <td bgcolor="#f0f0f0" width="110">¥¿¥¤¥È¥ë</td>
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74 | <td bgcolor="#ffffff" width="607"><input type="text" name="title" size="30" class="box30" /></td>
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75 | </tr>
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76 | <tr class="fs12n">
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77 | <td bgcolor="#f0f0f0" width="110">¥³¥á¥ó¥È</td>
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78 | <td bgcolor="#ffffff" width="607"><textarea name="textfield01" cols="60" rows="8" class="area60"></textarea></td>
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79 | </tr>
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80 | </table>
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81 | <!--¢¥ÅÐÏ¿¥Æ¡¼¥Ö¥ë¤³¤³¤Þ¤Ç-->
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82 |
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83 | <br />
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84 | <input type="button" name="subm" value="¤³¤ÎÆâÍƤÇÅÐÏ¿¤¹¤ë" />
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85 | </form>
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86 |
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87 | <!--¢¥MAIN CONTENTS-->
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88 | </td>
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89 | </tr>
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90 | </table>
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91 | <!--¢¥CONTENTS-->
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