source: branches/dev/data/Smarty/templates/mobile/entry/set2.tpl @ 11658

<div align="center">²ñ°÷¾ðÊóÆþÎÏ 3/3</div>
<hr>
<form name="form1" method="post" action="<!--{$smarty.server.PHP_SELF|escape}-->">
    <input type="hidden" name="mode" value="confirm">

    <font color="#FF0000">*¤Ïɬ¿Ü¹àÌܤǤ¹¡£</font><br>
    <br>

    ¡ÚÅÔÆ»Éܸ©¡Û<font color="#FF0000">*</font><br>
    <font color="#FF0000"><!--{$arrErr.pref}--></font>
    <select name="pref">
        <option value="">ÅÔÆ»Éܸ©¤òÁªÂò</option>
        <!--{html_options options=$arrPref selected=$pref}-->
    </select><br>

    ¡Ú»Ô¶èĮ¼¡Û<font color="#FF0000">*</font><br>
    <font color="#FF0000"><!--{$arrErr.addr01}--></font>
    <input type="text" name="addr01" value="<!--{$addr01|escape}-->" istyle="1"><br>

    ¡ÚÈÖÃÏ¡Û<font color="#FF0000">*</font><br>
    <font color="#FF0000"><!--{$arrErr.addr02}--></font>
    <input type="text" name="addr02" value="<!--{$addr02|escape}-->" istyle="1"><br>

    ¡ÚÅÅÏÃÈÖ¹æ¡Û<font color="#FF0000">*</font><br>
    <font color="#FF0000"><!--{$arrErr.tel01}--><!--{$arrErr.tel02}--><!--{$arrErr.tel03}--></font>
    <!--{assign var="size" value="`$smarty.const.TEL_ITEM_LEN+2`"}-->
    <input type="text" size="<!--{$size}-->" name="tel01" value="<!--{$tel01|escape}-->" maxlength="<!--{$smarty.const.TEL_ITEM_LEN}-->" istyle="4">
    &nbsp;-&nbsp;
    <input type="text" size="<!--{$size}-->" name="tel02" value="<!--{$tel02|escape}-->" maxlength="<!--{$smarty.const.TEL_ITEM_LEN}-->" istyle="4">
    &nbsp;-&nbsp;
    <input type="text" size="<!--{$size}-->" name="tel03" value="<!--{$tel03|escape}-->" maxlength="<!--{$smarty.const.TEL_ITEM_LEN}-->" istyle="4"><br>

    ¡Ú¥á¡¼¥ë¥Þ¥¬¥¸¥ó¡Û<br>
    ¤ªÆÀ¤Ê¾ðÊó¤ò´õ˾¤µ¤ì¤Þ¤¹¤«¡©<br>
    ÇÛ¿®´õ˾<input type="checkbox" name="mail_flag" value="on" <!--{if $mail_flag eq 'on'}-->checked<!--{/if}--> /><br>
    ¡Ê´õ˾¤µ¤ì¤Ê¤¤¾ì¹ç¤Ï¥Á¥§¥Ã¥¯¤ò¤Ï¤º¤·¤Æ¤¯¤À¤µ¤¤¡Ë<br>
    <br>

    <input type="submit" name="confirm" value="¼¡¤Ø">

    <!--{foreach from=$list_data key=key item=item}-->
        <input type="hidden" name="<!--{$key|escape}-->" value="<!--{$item|escape}-->">
    <!--{/foreach}-->
</form>

<br>
<hr>

<a href="<!--{$smarty.const.URL_CART_TOP}-->" accesskey="9"><!--{9|numeric_emoji}-->¤«¤´¤ò¸«¤ë</a><br>
<a href="<!--{$smarty.const.URL_SITE_TOP}-->" accesskey="0"><!--{0|numeric_emoji}-->TOP¥Ú¡¼¥¸¤Ø</a><br>

<br>

<!-- ¢§¥Õ¥Ã¥¿¡¼ ¤³¤³¤«¤é -->
<!--{include file='footer.tpl'}-->
<!-- ¢¥¥Õ¥Ã¥¿¡¼ ¤³¤³¤Þ¤Ç -->