source: branches/dev/data/Smarty/templates/mobile/mypage/set1.tpl @ 11903

<!--{*
/*
 * Copyright(c) 2000-2007 LOCKON CO.,LTD. All Rights Reserved.
 *
 * http://www.lockon.co.jp/
 */
*}-->
<div align="center">ÅÐÏ¿ÆâÍÆÊѹ¹ 2/3</div>
<hr>
<form name="form1" method="post" action="<!--{$smarty.server.PHP_SELF|escape}-->">
    <input type="hidden" name="mode" value="set2">

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

    ¡ÚÀ­ÊÌ¡Û<font color="#FF0000">*</font><br>
    <font color="#FF0000"><!--{$arrErr.sex}--></font>
    <input type="radio" name="sex" value="1" <!--{if $arrForm.sex eq "1"}-->checked<!--{/if}--> />ÃËÀ­&nbsp;
    <input type="radio" name="sex" value="2" <!--{if $arrForm.sex eq "2"}-->checked<!--{/if}--> />½÷À­<br>

    ¡ÚÀ¸Ç¯·îÆü¡Û<font color="#FF0000">*</font><br>
    <font color="#FF0000"><!--{$arrErr.year}--><!--{$arrErr.month}--><!--{$arrErr.day}--></font>
    <input type="text" name="year" value="<!--{$arrForm.year|escape}-->" size="4" maxlength="4" istyle="4">ǯ<br>
    <select name="month">
        <option value="">--</option>
        <!--{html_options options=$arrMonth selected=$arrForm.month}-->
    </select>·î<br>
    <select name="day">
        <option value="">--</option>
        <!--{html_options options=$arrDay selected=$arrForm.day}-->
    </select>Æü<br>

    <!--{assign var=key1 value="zip01"}-->
    <!--{assign var=key2 value="zip02"}-->
    ¡Ú͹ÊØÈÖ¹æ¡Û<font color="#FF0000">*</font><br>
    <font color="#FF0000"><!--{$arrErr[$key1]}--><!--{$arrErr[$key2]}--></font>
    <!--{assign var="size1" value="`$smarty.const.ZIP01_LEN+2`"}-->
    <!--{assign var="size2" value="`$smarty.const.ZIP02_LEN+2`"}-->
    <input size="<!--{$size1}-->" type="text" name="zip01" value="<!--{if $arrForm.zip01 == ""}--><!--{$arrForm.zip01|escape}--><!--{else}--><!--{$arrForm.zip01|escape}--><!--{/if}-->" maxlength="<!--{$smarty.const.ZIP01_LEN}-->" istyle="4">
    &nbsp;-&nbsp;
    <input size="<!--{$size2}-->" type="text" name="zip02" value="<!--{if $arrForm.zip02 == ""}--><!--{$arrForm.zip02|escape}--><!--{else}--><!--{$arrForm.zip02|escape}--><!--{/if}-->" maxlength="<!--{$smarty.const.ZIP02_LEN}-->" istyle="4"><br>

    <input type="submit" name="confirm" value="¼¡¤Ø"><br>
    <input type="submit" name="return" value="Ìá¤ë">

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

<br>
<hr>

<a href="<!--{$smarty.const.MOBILE_URL_CART_TOP}-->" accesskey="9"><!--{9|numeric_emoji}-->¤«¤´¤ò¸«¤ë</a><br>
<a href="<!--{$smarty.const.MOBILE_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 -->