1 | <!--{* |
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2 | * This file is part of EC-CUBE |
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3 | * |
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4 | * Copyright(c) 2000-2007 LOCKON CO.,LTD. All Rights Reserved. |
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5 | * |
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6 | * http://www.lockon.co.jp/ |
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7 | * |
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8 | * This program is free software; you can redistribute it and/or |
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9 | * modify it under the terms of the GNU General Public License |
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10 | * as published by the Free Software Foundation; either version 2 |
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11 | * of the License, or (at your option) any later version. |
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12 | * |
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13 | * This program is distributed in the hope that it will be useful, |
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14 | * but WITHOUT ANY WARRANTY; without even the implied warranty of |
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15 | * MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE. See the |
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16 | * GNU General Public License for more details. |
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17 | * |
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18 | * You should have received a copy of the GNU General Public License |
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19 | * along with this program; if not, write to the Free Software |
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20 | * Foundation, Inc., 59 Temple Place - Suite 330, Boston, MA 02111-1307, USA. |
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21 | *}--> |
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22 | <!--▼CONTENTS--> |
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23 | <div id="undercolumn"> |
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24 | <div id="undercolumn_entry"> |
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25 | <h2 class="title"> |
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26 | <img src="<!--{$TPL_DIR}-->img/entry/title.jpg" width="580" height="40" alt="会員登録" /> |
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27 | </h2> |
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28 | <p>ご登録されますと、まずは仮会員となります。<br /> |
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29 | 入力されたメールアドレスに、ご連絡が届きますので、本会員になった上でお買い物をお楽しみください。</p> |
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30 | <form name="form1" id="form1" method="post" action="<!--{$smarty.server.PHP_SELF|escape}-->"> |
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31 | <input type="hidden" name="<!--{$smarty.const.TRANSACTION_ID_NAME}-->" value="<!--{$transactionid}-->" /> |
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32 | <input type="hidden" name="mode" value="confirm" /> |
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33 | |
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34 | <table summary="会員登録フォーム"> |
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35 | <tr> |
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36 | <th>お名前<span class="attention">※</span></th> |
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37 | <td> |
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38 | <span class="attention"><!--{$arrErr.name01}--><!--{$arrErr.name02}--></span> |
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39 | 姓 <input type="text" name="name01" size="15" value="<!--{$name01|escape}-->" maxlength="<!--{$smarty.const.STEXT_LEN}-->" style="<!--{$arrErr.name01|sfGetErrorColor}-->; ime-mode: active;" class="box120" /> |
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40 | 名 <input type="text" name="name02" size="15" value="<!--{$name02|escape}-->" maxlength="<!--{$smarty.const.STEXT_LEN}-->" style="<!--{$arrErr.name02|sfGetErrorColor}-->; ime-mode: active;" class="box120" /> |
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41 | </td> |
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42 | </tr> |
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43 | <tr> |
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44 | <th>お名前(フリガナ)<span class="attention">※</span></th> |
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45 | <td> |
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46 | <span class="attention"><!--{$arrErr.kana01}--><!--{$arrErr.kana02}--></span> |
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47 | セイ <input type="text" name="kana01" size="15" class="box120" value="<!--{$kana01|escape}-->" maxlength="<!--{$smarty.const.STEXT_LEN}-->" style="<!--{$arrErr.kana01|sfGetErrorColor}-->; ime-mode: active;" /> |
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48 | メイ <input type="text" name="kana02" size="15" class="box120" value="<!--{$kana02|escape}-->" maxlength="<!--{$smarty.const.STEXT_LEN}-->" style="<!--{$arrErr.kana02|sfGetErrorColor}-->; ime-mode: active;" /> |
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49 | </td> |
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50 | </tr> |
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51 | <tr> |
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52 | <th>郵便番号<span class="attention">※</span></th> |
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53 | <td> |
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54 | <!--{assign var=key1 value="zip01"}--> |
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55 | <!--{assign var=key2 value="zip02"}--> |
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56 | <span class="attention"><!--{$arrErr[$key1]}--><!--{$arrErr[$key2]}--></span> |
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57 | <p>〒 <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="box60" /> - <input type="text" name="zip02" value="<!--{if $zip02 == ""}--><!--{$arrOtherDeliv.zip02|escape}--><!--{else}--><!--{$zip02|escape}--><!--{/if}-->" maxlength="<!--{$smarty.const.ZIP02_LEN}-->" style="<!--{$arrErr.zip02|sfGetErrorColor}-->; ime-mode: disabled;" size="6" class="box60" /> |
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58 | <a href="http://search.post.japanpost.jp/zipcode/" target="_blank"><span class="fs10">郵便番号検索</span></a></p> |
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59 | <p class="zipimg"> |
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60 | <a href="<!--{$smarty.const.URL_DIR}-->address/index.php" onclick="fnCallAddress('<!--{$smarty.const.URL_INPUT_ZIP}-->', 'zip01', 'zip02', 'pref', 'addr01'); return false;" target="_blank"><img src="<!--{$TPL_DIR}-->img/common/address.gif" width="86" height="20" alt="住所自動入力" /> |
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61 | </a> |
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62 | <span class="mini"> 郵便番号を入力後、クリックしてください。</span> |
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63 | </p> |
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64 | </td> |
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65 | </tr> |
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66 | <tr> |
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67 | <th>住所<span class="attention">※</span></th> |
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68 | <td><span class="attention"><!--{$arrErr.pref}--><!--{$arrErr.addr01}--><!--{$arrErr.addr02}--></span> |
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69 | <select name="pref" style="<!--{$arrErr.pref|sfGetErrorColor}-->"> |
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70 | <option value="" selected="selected">都道府県を選択</option> |
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71 | <!--{html_options options=$arrPref selected=$pref}--> |
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72 | </select> |
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73 | <p class="mini"><input type="text" name="addr01" size="40" class="box380" value="<!--{$addr01|escape}-->" style="<!--{$arrErr.addr01|sfGetErrorColor}-->; ime-mode: active;" /><br /> |
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74 | <!--{$smarty.const.SAMPLE_ADDRESS1}--></p> |
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75 | <p class="mini"><input type="text" name="addr02" size="40" value="<!--{$addr02|escape}-->" style="<!--{$arrErr.addr02|sfGetErrorColor}-->; ime-mode: active;" class="box380" /><br /> |
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76 | <!--{$smarty.const.SAMPLE_ADDRESS2}--></p> |
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77 | <p class="mini"><em>住所は2つに分けてご記入いただけます。マンション名は必ず記入してください。</em></p> |
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78 | </td> |
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79 | </tr> |
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80 | <tr> |
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81 | <th>電話番号<span class="attention">※</span></th> |
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82 | <td> |
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83 | <span class="attention"><!--{$arrErr.tel01}--><!--{$arrErr.tel02}--><!--{$arrErr.tel03}--></span> |
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84 | <input type="text" name="tel01" size="6" value="<!--{$tel01|escape}-->" maxlength="<!--{$smarty.const.TEL_ITEM_LEN}-->" class="box60" style="<!--{$arrErr.tel01|sfGetErrorColor}-->; ime-mode: disabled;" /> - <input type="text" name="tel02" size="6" value="<!--{$tel02|escape}-->" maxlength="<!--{$smarty.const.TEL_ITEM_LEN}-->" style="<!--{$arrErr.tel02|sfGetErrorColor}-->; ime-mode: disabled;" class="box60" /> - <input type="text" name="tel03" size="6" value="<!--{$tel03|escape}-->" maxlength="<!--{$smarty.const.TEL_ITEM_LEN}-->" style="<!--{$arrErr.tel03|sfGetErrorColor}-->; ime-mode: disabled;" class="box60" /> |
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85 | </td> |
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86 | </tr> |
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87 | <tr> |
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88 | <th>FAX</th> |
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89 | <td><span class="attention"><!--{$arrErr.fax01}--><!--{$arrErr.fax02}--><!--{$arrErr.fax03}--></span> |
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90 | <input type="text" name="fax01" size="6" value="<!--{$fax01|escape}-->" maxlength="<!--{$smarty.const.TEL_ITEM_LEN}-->" style="<!--{$arrErr.fax01|sfGetErrorColor}-->; ime-mode: disabled;" class="box60" /> - <input type="text" name="fax02" size="6" value="<!--{$fax02|escape}-->" maxlength="<!--{$smarty.const.TEL_ITEM_LEN}-->" style="<!--{$arrErr.fax02|sfGetErrorColor}-->; ime-mode: disabled;" class="box60" /> - <input type="text" name="fax03" size="6" value="<!--{$fax03|escape}-->" maxlength="<!--{$smarty.const.TEL_ITEM_LEN}-->" style="<!--{$arrErr.fax03|sfGetErrorColor}-->; ime-mode: disabled;" class="box60" /> |
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91 | </td> |
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92 | </tr> |
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93 | <tr> |
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94 | <th>メールアドレス<span class="attention">※</span></th> |
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95 | <td> |
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96 | <span class="attention"><!--{$arrErr.email}--><!--{$arrErr.email02}--></span> |
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97 | <div><input type="text" name="email" size="40" class="box380" value="<!--{$email|escape}-->" style="<!--{$arrErr.email|sfGetErrorColor}-->; ime-mode: disabled;" /></div> |
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98 | <div><input type="text" name="email02" size="40" class="box380" value="<!--{$email02|escape}-->" style="<!--{$arrErr.email02|sfGetErrorColor}-->; ime-mode: disabled;" /></div> |
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99 | <p class="mini"><em>確認のため2度入力してください。</em></p> |
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100 | </td> |
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101 | </tr> |
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102 | <tr> |
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103 | <th>性別<span class="attention">※</span></th> |
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104 | <td> |
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105 | <span class="attention"><!--{$arrErr.sex}--></span> |
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106 | <input type="radio" name="sex" id="man" value="1" style="<!--{$arrErr.sex|sfGetErrorColor}-->" <!--{if $sex eq 1}--> checked="checked"<!--{/if}--> /><label for="man">男性</label> |
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107 | <input type="radio" name="sex" id="woman" value="2" style="<!--{$arrErr.sex|sfGetErrorColor}-->" <!--{if $sex eq 2}--> checked="checked"<!--{/if}--> /><label for="woman">女性</label> |
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108 | </td> |
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109 | </tr> |
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110 | <tr> |
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111 | <th>職業</th> |
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112 | <td> |
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113 | <span class="attention"><!--{$arrErr.job}--></span> |
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114 | <select name="job" style="<!--{$arrErr.job|sfGetErrorColor}-->"> |
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115 | <option value="" selected="selected">選択してください</option> |
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116 | <!--{html_options options=$arrJob selected=$job}--> |
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117 | </select> |
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118 | </td> |
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119 | </tr> |
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120 | <tr> |
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121 | <th>生年月日</th> |
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122 | <td> |
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123 | <span class="attention"><!--{$arrErr.year}--><!--{$arrErr.month}--><!--{$arrErr.day}--></span> |
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124 | <select name="year" style="<!--{$arrErr.year|sfGetErrorColor}-->"> |
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125 | <!--{html_options options=$arrYear selected=$year}--> |
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126 | </select>年 |
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127 | <select name="month" style="<!--{$arrErr.year|sfGetErrorColor}-->"> |
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128 | <option value="">--</option> |
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129 | <!--{html_options options=$arrMonth selected=$month}--> |
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130 | </select>月 |
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131 | <select name="day" style="<!--{$arrErr.year|sfGetErrorColor}-->"> |
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132 | <option value="">--</option> |
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133 | <!--{html_options options=$arrDay selected=$day}--> |
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134 | </select>日 |
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135 | </td> |
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136 | </tr> |
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137 | <tr> |
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138 | <th>希望するパスワード<span class="attention">※</span><br /> |
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139 | <span class="mini">パスワードは購入時に必要です</span></th> |
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140 | <td> |
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141 | <span class="attention"><!--{$arrErr.password}--><!--{$arrErr.password02}--></span> |
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142 | <div><input type="password" name="password" value="<!--{$arrForm.password}-->" size="15" class="box120" style="<!--{$arrErr.password|sfGetErrorColor}-->"/></div> |
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143 | <p class="mini attention">半角英数字4〜10文字でお願いします。(記号不可)</p> |
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144 | <div><input type="password" name="password02" value="<!--{$arrForm.password02}-->" size="15" class="box120" style="<!--{$arrErr.password02|sfGetErrorColor}-->"/></div> |
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145 | <p class="mini attention">確認のために2度入力してください。</p> |
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146 | </tr> |
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147 | <tr> |
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148 | <th>パスワードを忘れた時のヒント<span class="attention">※</span></th> |
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149 | <td> |
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150 | <span class="attention"><!--{$arrErr.reminder}--><!--{$arrErr.reminder_answer}--></span> |
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151 | 質問: |
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152 | <select name="reminder" style="<!--{$arrErr.reminder|sfGetErrorColor}-->"> |
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153 | <option value="" selected="selected">選択してください</option> |
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154 | <!--{html_options options=$arrReminder selected=$reminder}--> |
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155 | </select><br /> |
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156 | 答え:<input type="text" name="reminder_answer" size="33" value="<!--{$reminder_answer|escape}-->" style="<!--{$arrErr.reminder_answer|sfGetErrorColor}-->; ime-mode: active;" class="box320" /> |
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157 | </td> |
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158 | </tr> |
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159 | <tr> |
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160 | <th>メールマガジン送付について<span class="attention">※</span></th> |
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161 | <td> |
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162 | <span class="attention"><!--{$arrErr.mailmaga_flg}--></span> |
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163 | <div> |
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164 | <input type="radio" name="mailmaga_flg" id="html" value="1" |
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165 | style="<!--{$arrErr.mailmaga_flg|sfGetErrorColor}-->" |
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166 | <!--{if $mailmaga_flg eq 1 || $mailmaga_flg eq ""}--> checked="checked"<!--{/if}--> /><label for="html">HTMLメール+テキストメールを受け取る</label> |
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167 | </div> |
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168 | <div> |
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169 | <input type="radio" name="mailmaga_flg" id="text" value="2" |
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170 | style="<!--{$arrErr.mailmaga_flg|sfGetErrorColor}-->" |
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171 | <!--{if $mailmaga_flg eq 2}--> checked="checked"<!--{/if}--> /><label for="text">テキストメールを受け取る</label> |
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172 | </div> |
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173 | <div> |
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174 | <input type="radio" name="mailmaga_flg" id="no" value="3" |
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175 | style="<!--{$arrErr.mailmaga_flg|sfGetErrorColor}-->" |
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176 | <!--{if $mailmaga_flg eq 3}--> checked="checked"<!--{/if}--> /><label for="no">受け取らない</label> |
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177 | </div> |
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178 | </td> |
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179 | </tr> |
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180 | </table> |
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181 | |
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182 | <div class="tblareabtn"> |
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183 | <input type="image" onmouseover="chgImgImageSubmit('<!--{$TPL_DIR}-->img/common/b_confirm_on.gif',this)" onmouseout="chgImgImageSubmit('<!--{$TPL_DIR}-->img/common/b_confirm.gif',this)" src="<!--{$TPL_DIR}-->img/common/b_confirm.gif" class="box150" alt="確認ページへ" name="confirm" id="confirm" /> |
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184 | </div> |
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185 | </form> |
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186 | </div> |
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187 | </div> |
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188 | <!--▲CONTENTS--> |
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