1 | <!--{*
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2 | * Copyright(c) 2000-2006 LOCKON CO.,LTD. All Rights Reserved.
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3 | *
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4 | * http://www.lockon.co.jp/
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5 | *}-->
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6 | <!--¢§CONTENTS-->
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7 | <table width="" border="0" cellspacing="0" cellpadding="0" summary=" ">
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8 | <tr valign="top">
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9 | <td align="right" bgcolor="#ffffff">
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10 | <!--¢§MAIN ONTENTS-->
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11 | <table width="580" border="0" cellspacing="0" cellpadding="0" summary=" ">
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12 | <form name="form1" id="form1" method="post" action="<!--{$smarty.server.PHP_SELF|escape}-->">
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13 | <input type="hidden" name="mode" value="confirm">
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14 | <tr>
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15 | <td><img src="<!--{$smarty.const.URL_DIR}-->img/entry/title.jpg" width="580" height="40" alt="²ñ°÷ÅÐÏ¿"></td>
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16 | </tr>
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17 | <tr><td height="15"></td></tr>
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18 | <tr>
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19 | <td class="fs12">¤´ÅÐÏ¿¤µ¤ì¤Þ¤¹¤È¡¢¤Þ¤º¤Ï²¾²ñ°÷¤È¤Ê¤ê¤Þ¤¹¡£<br>
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20 | ÆþÎϤµ¤ì¤¿¥á¡¼¥ë¥¢¥É¥ì¥¹¤Ë¡¢¤´Ï¢Íí¤¬ÆϤ¤Þ¤¹¤Î¤Ç¡¢Ëܲñ°÷¤Ë¤Ê¤Ã¤¿¾å¤Ç¤ªÇ㤤ʪ¤ò¤ª³Ú¤·¤ß¤¯¤À¤µ¤¤¡£</td>
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21 | </tr>
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22 | <tr><td height="20"></td></tr>
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23 | <tr>
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24 | <td bgcolor="#cccccc" align="center">
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25 | <!--ÆþÎÏ¥Õ¥©¡¼¥à¤³¤³¤«¤é-->
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26 | <table width="580" border="0" cellspacing="1" cellpadding="10" summary=" ">
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27 | <tr>
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28 | <td width="135" bgcolor="#f0f0f0" class="fs12n">¤ªÌ¾Á°<span class="red">¢¨</span></td>
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29 | <td width="402" bgcolor="#ffffff" class="fs12n"><span class="red"><!--{$arrErr.name01}--><!--{$arrErr.name02}--></span>À« <input type="text" name="name01" size="15" class="box15" value="<!--{$name01|escape}-->" maxlength="<!--{$smarty.const.STEXT_LEN}-->" style="<!--{$arrErr.name01|sfGetErrorColor}-->; ime-mode: active;" />¡¡Ì¾ <input type="text" name="name02" size="15" class="box15"value="<!--{$name02|escape}-->" maxlength="<!--{$smarty.const.STEXT_LEN}-->" style="<!--{$arrErr.name02|sfGetErrorColor}-->; ime-mode: active;" /></td>
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30 | </tr>
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31 | <tr>
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32 | <td bgcolor="#f0f0f0" class="fs12n">¤ªÌ¾Á°¡Ê¥Õ¥ê¥¬¥Ê¡Ë<span class="red">¢¨</span></td>
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33 | <td bgcolor="#ffffff" class="fs12n"><span class="red"><!--{$arrErr.kana01}--><!--{$arrErr.kana02}--></span>¥»¥¤ <input type="text" name="kana01" size="15" class="box15" value="<!--{$kana01|escape}-->" maxlength="<!--{$smarty.const.STEXT_LEN}-->" style="<!--{$arrErr.kana01|sfGetErrorColor}-->; ime-mode: active;" />¡¡¥á¥¤ <input type="text" name="kana02" size="15" class="box15" value="<!--{$kana02|escape}-->" maxlength="<!--{$smarty.const.STEXT_LEN}-->" style="<!--{$arrErr.kana02|sfGetErrorColor}-->; ime-mode: active;" /></td>
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34 | </tr>
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35 | <tr>
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36 | <td bgcolor="#f0f0f0" class="fs12n">͹ÊØÈÖ¹æ<span class="red">¢¨</span></td>
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37 | <td bgcolor="#ffffff">
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38 | <table border="0" cellspacing="0" cellpadding="0" summary=" ">
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39 | <tr>
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40 | <td colspan="2">
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41 | <!--{assign var=key1 value="zip01"}-->
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42 | <!--{assign var=key2 value="zip02"}-->
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43 | <span class="fs12n"><span class="red"><!--{$arrErr[$key1]}--><!--{$arrErr[$key2]}--></span></span>
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44 | <span class="fs12n">¢© </span><input type="text" name="zip01" value="<!--{if $zip01 == ""}--><!--{$arrOtherDeliv.zip01|escape}--><!--{else}--><!--{$zip01|escape}--><!--{/if}-->" maxlength="<!--{$smarty.const.ZIP01_LEN}-->" style="<!--{$arrErr.zip01|sfGetErrorColor}-->; ime-mode: disabled;" size=6 class="box6" /> - <input type="text" name="zip02" value="<!--{if $zip02 == ""}--><!--{$arrOtherDeliv.zip02|escape}--><!--{else}--><!--{$zip02|escape}--><!--{/if}-->" maxlength="<!--{$smarty.const.ZIP02_LEN}-->" style="<!--{$arrErr.zip02|sfGetErrorColor}-->; ime-mode: disabled;" size=6 class="box6" />¡¡
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45 | <a href="http://search.post.japanpost.jp/7zip/" target="_blank"><span class="fs10">͹ÊØÈֹ渡º÷</span></a>
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46 | </td>
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47 | </tr>
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48 | <tr><td height="5"></td></tr>
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49 | <tr>
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50 | <td><a href="<!--{$smarty.const.URL_DIR}-->address/index.php" onclick="fnCallAddress('<!--{$smarty.const.URL_INPUT_ZIP}-->', 'zip01', 'zip02', 'pref', 'addr01'); return false;" target="_blank"><img src="<!--{$smarty.const.URL_DIR}-->img/common/address.gif" width="86" height="20" alt="½»½ê¼«Æ°ÆþÎÏ" /></a></td>
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51 | <td class="fs10n"> ͹ÊØÈÖ¹æ¤òÆþÎϸ塢¥¯¥ê¥Ã¥¯¤·¤Æ¤¯¤À¤µ¤¤¡£</td>
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52 | </tr>
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53 | </table>
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54 | </td>
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55 | </tr>
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56 | <tr>
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57 | <td bgcolor="#f0f0f0" class="fs12">½»½ê<span class="red">¢¨</span></td>
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58 | <td bgcolor="#ffffff">
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59 | <table border="0" cellspacing="0" cellpadding="0" summary=" ">
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60 | <tr>
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61 | <td class="fs12n"><span class="red"><!--{$arrErr.pref}--><!--{$arrErr.addr01}--><!--{$arrErr.addr02}--></span>
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62 | <select name="pref" style="<!--{$arrErr.pref|sfGetErrorColor}-->">
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63 | <option value="" selected>ÅÔÆ»Éܸ©¤òÁªÂò</option>
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64 | <!--{html_options options=$arrPref selected=$pref}-->
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65 | </select></td>
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66 | </tr>
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67 | <tr><td height="7"></td>
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68 | </tr>
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69 | <tr>
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70 | <td><input type="text" name="addr01" size="40" class="box40" value="<!--{$addr01|escape}-->" style="<!--{$arrErr.addr01|sfGetErrorColor}-->; ime-mode: active;"/></td>
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71 | </tr>
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72 | <tr>
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73 | <td class="fs10n">»Ô¶èĮ¼̾¡ÊÎ㡧Âçºå»ÔË̶èƲÅç¡Ë</td>
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74 | </tr>
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75 | <tr><td height="5"></td></tr>
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76 | <tr>
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77 | <td><input type="text" name="addr02" size="40" class="box40" value="<!--{$addr02|escape}-->" style="<!--{$arrErr.addr02|sfGetErrorColor}-->; ime-mode: active;" /></td>
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78 | </tr>
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79 | <tr>
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80 | <td class="fs10n">ÈÖÃÏ¡¦¥Ó¥ë̾¡ÊÎ㡧6-1-1¡Ë</td>
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81 | </tr>
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82 | <tr><td height="5"></td></tr>
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83 | <tr>
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84 | <td class="fs10"><span class="red">½»½ê¤Ï2¤Ä¤Ëʬ¤±¤Æ¤´µÆþ¤¤¤¿¤À¤±¤Þ¤¹¡£¥Þ¥ó¥·¥ç¥ó̾¤Ïɬ¤ºµÆþ¤·¤Æ¤¯¤À¤µ¤¤¡£</span></td>
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85 | </tr>
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86 | </table>
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87 | </td>
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88 | </tr>
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89 | <tr>
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90 | <td bgcolor="#f0f0f0" class="fs12n">ÅÅÏÃÈÖ¹æ<span class="red">¢¨</span></td>
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91 | <td bgcolor="#ffffff" class="fs12n"><span class="red"><!--{$arrErr.tel01}--><!--{$arrErr.tel02}--><!--{$arrErr.tel03}--></span><input type="text" name="tel01" size="6" value="<!--{$tel01|escape}-->" maxlength="<!--{$smarty.const.TEL_ITEM_LEN}-->" style="<!--{$arrErr.tel01|sfGetErrorColor}-->; ime-mode: disabled;" /> - <input type="text" name="tel02" size="6" value="<!--{$tel02|escape}-->" maxlength="<!--{$smarty.const.TEL_ITEM_LEN}-->" style="<!--{$arrErr.tel02|sfGetErrorColor}-->; ime-mode: disabled;" /> - <input type="text" name="tel03" size="6" value="<!--{$tel03|escape}-->" maxlength="<!--{$smarty.const.TEL_ITEM_LEN}-->" style="<!--{$arrErr.tel03|sfGetErrorColor}-->; ime-mode: disabled;" /></td>
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92 | </tr>
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93 | <tr>
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94 | <td bgcolor="#f0f0f0" class="fs12n">FAX</td>
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95 | <td bgcolor="#ffffff" class="fs12n"><span class="red"><!--{$arrErr.fax01}--><!--{$arrErr.fax02}--><!--{$arrErr.fax03}--></span><input type="text" name="fax01" size="6" value="<!--{$fax01|escape}-->" maxlength="<!--{$smarty.const.TEL_ITEM_LEN}-->" style="<!--{$arrErr.fax01|sfGetErrorColor}-->; ime-mode: disabled;" /> - <input type="text" name="fax02" size="6" value="<!--{$fax02|escape}-->" maxlength="<!--{$smarty.const.TEL_ITEM_LEN}-->" style="<!--{$arrErr.fax01|sfGetErrorColor}-->; ime-mode: disabled;" /> - <input type="text" name="fax03" size="6" value="<!--{$fax02|escape}-->" maxlength="<!--{$smarty.const.TEL_ITEM_LEN}-->" style="<!--{$arrErr.fax01|sfGetErrorColor}-->; ime-mode: disabled;" /></td>
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96 | </tr>
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97 | <tr>
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98 | <td bgcolor="#f0f0f0" class="fs12n">¥á¡¼¥ë¥¢¥É¥ì¥¹<span class="red">¢¨</span></td>
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99 | <td bgcolor="#ffffff">
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100 | <table border="0" cellspacing="0" cellpadding="0" summary=" ">
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101 | <tr><span class="fs12n"><span class="red"><!--{$arrErr.email}--><!--{$arrErr.email02}--></span></span>
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102 | <td><input type="text" name="email" size="40" class="box40" value="<!--{$email|escape}-->" style="<!--{$arrErr.email|sfGetErrorColor}-->; ime-mode: disabled;" /></td>
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103 | </tr>
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104 | <tr><td height="5"></td></tr>
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105 | <tr>
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106 | <td><input type="text" name="email02" size="40" class="box40" value="<!--{$email02|escape}-->" style="<!--{$arrErr.email02|sfGetErrorColor}-->; ime-mode: disabled;" /></td>
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107 | </tr>
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108 | <tr><td height="2"></td></tr>
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109 | <tr>
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110 | <td class="fs10n"><span class="red">³Îǧ¤Î¤¿¤á2ÅÙÆþÎϤ·¤Æ¤¯¤À¤µ¤¤¡£</span></td>
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111 | </tr>
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112 | </table>
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113 | </td>
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114 | </tr>
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115 | <tr>
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116 | <td bgcolor="#f0f0f0" class="fs12n">ÀÊÌ<span class="red">¢¨</span></td>
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117 | <td bgcolor="#ffffff" class="fs12n"><span class="red"><!--{$arrErr.sex}--></span>
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118 | <input type="radio" name="sex" id="man" value="1" style="<!--{$arrErr.sex|sfGetErrorColor}-->" <!--{if $sex eq 1}-->checked<!--{/if}--> /><label for="man">ÃËÀ</label>¡¡<input type="radio" name="sex" id="woman" value="2" style="<!--{$arrErr.sex|sfGetErrorColor}-->" <!--{if $sex eq 2}-->checked<!--{/if}--> /><label for="woman">½÷À</label>
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119 | </td>
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120 | </tr>
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121 | <tr>
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122 | <td bgcolor="#f0f0f0" class="fs12n">¿¦¶È</td>
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123 | <td bgcolor="#ffffff"><span class="red"><!--{$arrErr.job}--></span>
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124 | <select name="job" style="<!--{$arrErr.job|sfGetErrorColor}-->">
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125 | <option value="" selected>ÁªÂò¤·¤Æ¤¯¤À¤µ¤¤</option>
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126 | <!--{html_options options=$arrJob selected=$job}-->
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127 | </select></td>
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128 | </tr>
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129 | <tr>
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130 | <td bgcolor="#f0f0f0" class="fs12n">À¸Ç¯·îÆü</td>
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131 | <td bgcolor="#ffffff" class="fs12n">
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132 | <table cellspacing="0" cellpadding="0" summary=" ">
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133 | <tr>
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134 | <td class="fs12n"><span class="red"><!--{$arrErr.year}--><!--{$arrErr.month}--><!--{$arrErr.day}--></span>
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135 | <select name="year" style="<!--{$arrErr.year|sfGetErrorColor}-->">
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136 | <!--{html_options options=$arrYear selected=$year}-->
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137 | </select>ǯ
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138 | <select name="month" style="<!--{$arrErr.year|sfGetErrorColor}-->">
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139 | <option value="">--</option>
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140 | <!--{html_options options=$arrMonth selected=$month}-->
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141 | </select>·î
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142 | <select value="" name="day" style="<!--{$arrErr.year|sfGetErrorColor}-->">
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143 | <option value="">--</option>\
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144 | <!--{html_options options=$arrDay selected=$day}-->
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145 | </select>Æü</td>
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146 | </tr>
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147 | <tr><td height="2"></td></tr>
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148 | </table>
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149 | </td>
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150 | </tr>
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151 | <tr>
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152 | <td bgcolor="#f0f0f0" ><span class="fs12">´õ˾¤¹¤ë¥Ñ¥¹¥ï¡¼¥É<span class="red">¢¨</span></span><br>
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153 | <span class="fs10">¥Ñ¥¹¥ï¡¼¥É¤Ï¹ØÆþ»þ¤ËɬÍפǤ¹</span></td>
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154 | <td bgcolor="#ffffff">
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155 | <table cellspacing="0" cellpadding="0" summary=" ">
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156 | <tr>
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157 | <td class="fs12n"><span class="red"><!--{$arrErr.password}--><!--{$arrErr.password02}--></span><input type="password" name="password" value="<!--{$arrForm.password}-->"size="15" class="box15" style="<!--{$arrErr.password|sfGetErrorColor}-->"/></td>
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158 | </tr>
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159 | <tr><td height="2"></td></tr>
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160 | <tr>
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161 | <td class="fs10n"><span class="red">Ⱦ³Ñ±Ñ¿ô»ú4¡Á10ʸ»ú¤Ç¤ª´ê¤¤¤·¤Þ¤¹¡£¡Êµ¹æÉԲġË</span></td>
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162 | </tr>
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163 | <tr><td height="5"></td></tr>
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164 | <tr>
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165 | <td><input type="password" name="password02" value="<!--{$arrForm.password02}-->" size="15" class="box15" style="<!--{$arrErr.password02|sfGetErrorColor}-->"/></td>
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166 | </tr>
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167 | <tr><td height="2"></td></tr>
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168 | <tr>
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169 | <td class="fs10n"><span class="red">³Îǧ¤Î¤¿¤á¤Ë2ÅÙÆþÎϤ·¤Æ¤¯¤À¤µ¤¤¡£</span></td>
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170 | </tr>
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171 | </table>
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172 | </td>
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173 | </tr>
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174 | <tr>
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175 | <td bgcolor="#f0f0f0" class="fs12">¥Ñ¥¹¥ï¡¼¥É¤ò˺¤ì¤¿»þ¤Î¥Ò¥ó¥È<span class="red">¢¨</span></td>
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176 | <td bgcolor="#ffffff" class="fs12n"><span class="red"><!--{$arrErr.reminder}--><!--{$arrErr.reminder_answer}--></span>
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177 | <table cellspacing="0" cellpadding="0" summary=" ">
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178 | <tr>
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179 | <td class="fs12n">¼ÁÌ䡧</td>
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180 | <td>
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181 | <select name="reminder" style="<!--{$arrErr.reminder|sfGetErrorColor}-->">
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182 | <option value="" selected>ÁªÂò¤·¤Æ¤¯¤À¤µ¤¤</option>
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183 | <!--{html_options options=$arrReminder selected=$reminder}-->
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184 | </select>
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185 | </td>
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186 | </tr>
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187 | <tr><td height="5"></td></tr>
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188 | <tr>
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189 | <td class="fs12n">Åú¤¨¡§</td>
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190 |
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191 | <td><input type="text" name="reminder_answer" size="33" class="box33" value="<!--{$reminder_answer|escape}-->" style="<!--{$arrErr.reminder_answer|sfGetErrorColor}-->; ime-mode: active;" /></td>
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192 | </tr>
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193 | </table>
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194 | </td>
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195 | </tr>
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196 | <tr>
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197 | <td bgcolor="#f0f0f0" class="fs12">¥á¡¼¥ë¥Þ¥¬¥¸¥óÁ÷ÉդˤĤ¤¤Æ<span class="red">¢¨</span></td>
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198 | <td bgcolor="#ffffff" class="fs12"><span class="red"><!--{$arrErr.mail_flag}--></span>
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199 | <input type="radio" name="mail_flag" id="html" value="1" style="<!--{$arrErr.mail_flag|sfGetErrorColor}-->" <!--{if $mail_flag eq 1 || $mail_flag eq ""}-->checked<!--{/if}--> /><label for="html">HTML¥á¡¼¥ë¡Ü¥Æ¥¥¹¥È¥á¡¼¥ë¤ò¼õ¤±¼è¤ë</label><br>
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200 | <input type="radio" name="mail_flag" id="text"value="2" style="<!--{$arrErr.mail_flag|sfGetErrorColor}-->" <!--{if $mail_flag eq 2}-->checked<!--{/if}--> /><label for="text">¥Æ¥¥¹¥È¥á¡¼¥ë¤ò¼õ¤±¼è¤ë</label><br>
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201 | <input type="radio" name="mail_flag" id="no" value="3" style="<!--{$arrErr.mail_flag|sfGetErrorColor}-->" <!--{if $mail_flag eq 3}-->checked<!--{/if}--> /><label for="no">¼õ¤±¼è¤é¤Ê¤¤</label></td>
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202 | </tr>
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203 | </table>
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204 | <!--ÆþÎÏ¥Õ¥©¡¼¥à¤³¤³¤Þ¤Ç-->
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205 | </td>
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206 | </tr>
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207 | <tr><td height="25"></td></tr>
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208 | <tr align="center">
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209 | <td>
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210 | <input type="image" onmouseover="chgImgImageSubmit('<!--{$smarty.const.URL_DIR}-->img/common/b_confirm_on.gif',this)" onmouseout="chgImgImageSubmit('<!--{$smarty.const.URL_DIR}-->img/common/b_confirm.gif',this)" src="<!--{$smarty.const.URL_DIR}-->img/common/b_confirm.gif" width="150" height="30" alt="³Îǧ¥Ú¡¼¥¸¤Ø" border="0" name="confirm" id="confirm" />
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211 | </td>
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212 | </tr>
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213 | </form>
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214 | </table>
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215 | <!--¢¥MAIN ONTENTS-->
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216 | </td>
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217 | </tr>
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218 | </table>
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219 | <!--¢¥CONTENTS-->
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