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) 2000-2011 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 | <section id="undercolumn"> |
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24 | <h2 class="title"><!--{$tpl_title|h}--></h2> |
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25 | <div class="intro"> |
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26 | <p>ご意見やご質問をお受けしております。<br /> |
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27 | 休業日は翌営業日以降のご返信となりますのでご了承ください。</p> |
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28 | </div> |
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29 | |
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30 | <form name="form1" method="post" action="?"> |
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31 | <input type="hidden" name="<!--{$smarty.const.TRANSACTION_ID_NAME}-->" value="<!--{$transactionid}-->" /> |
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32 | <input type="hidden" name="mode" value="confirm" /> |
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33 | |
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34 | <dl class="form_entry"> |
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35 | <dt>お名前<span class="attention">※</span></dt> |
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36 | <dd><span class="attention"><!--{$arrErr.name01}--><!--{$arrErr.name02}--></span> |
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37 | <input type="text" name="name01" |
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38 | value="<!--{$arrForm.name01.value|default:$arrData.name01|h}-->" |
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39 | maxlength="<!--{$smarty.const.STEXT_LEN}-->" |
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40 | style="<!--{$arrErr.name01|sfGetErrorColor}-->" class="boxHarf text data-role-none" placeholder="姓"/> |
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41 | <input type="text" name="name02" |
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42 | value="<!--{$arrForm.name02.value|default:$arrData.name02|h}-->" |
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43 | maxlength="<!--{$smarty.const.STEXT_LEN}-->" |
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44 | style="<!--{$arrErr.name02|sfGetErrorColor}-->" class="boxHarf text data-role-none" placeholder="名"/> |
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45 | </dd> |
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46 | |
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47 | <dt>お名前(フリガナ)<span class="attention">※</span></dt> |
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48 | <dd><span class="attention"><!--{$arrErr.kana01}--><!--{$arrErr.kana02}--></span> |
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49 | <input type="text" name="kana01" |
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50 | value="<!--{$arrForm.kana01.value|default:$arrData.kana01|h}-->" |
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51 | maxlength="<!--{$smarty.const.STEXT_LEN}-->" |
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52 | style="<!--{$arrErr.kana01|sfGetErrorColor}-->"class="boxHarf text data-role-none" placeholder="セイ"/> |
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53 | <input type="text" name="kana02" |
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54 | value="<!--{$arrForm.kana02.value|default:$arrData.kana02|h}-->" |
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55 | maxlength="<!--{$smarty.const.STEXT_LEN}-->" |
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56 | style="<!--{$arrErr.kana02|sfGetErrorColor}-->" class="boxHarf text data-role-none" placeholder="メイ"/> |
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57 | </dd> |
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58 | |
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59 | <dt>郵便番号</dt> |
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60 | <dd><!--{assign var=key1 value="`$prefix`zip01"}--> |
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61 | <!--{assign var=key2 value="`$prefix`zip02"}--> |
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62 | <!--{assign var=key3 value="`$prefix`pref"}--> |
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63 | <!--{assign var=key4 value="`$prefix`addr01"}--> |
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64 | <span class="attention"><!--{$arrErr.zip01}--><!--{$arrErr.zip02}--></span> |
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65 | <p><input type="number" name="zip01" |
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66 | value="<!--{$arrForm.zip01.value|default:$arrData.zip01|h}-->" |
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67 | maxlength="<!--{$smarty.const.ZIP01_LEN}-->" |
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68 | style="<!--{$arrErr.zip01|sfGetErrorColor}-->; ime-mode: disabled;" class="boxShort text data-role-none" /> - |
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69 | <input type="number" name="zip02" |
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70 | value="<!--{$arrForm.zip02.value|default:$arrData.zip02|h}-->" |
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71 | maxlength="<!--{$smarty.const.ZIP02_LEN}-->" |
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72 | style="<!--{$arrErr.zip02|sfGetErrorColor}-->; ime-mode: disabled;" class="boxShort text data-role-none" /> |
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73 | <a href="http://search.post.japanpost.jp/zipcode/" target="_blank" rel="external"><span class="mini">郵便番号検索</span></a> |
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74 | </p> |
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75 | |
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76 | <a href="<!--{$smarty.const.ROOT_URLPATH}-->input_zip.php" onClick="fnCallAddress('<!--{$smarty.const.INPUT_ZIP_URLPATH}-->', '<!--{$key1}-->', '<!--{$key2}-->', '<!--{$key3}-->', '<!--{$key4}-->'); return false;" target="_blank" class="btn_sub btn_inputzip" rel="external">郵便番号から住所自動入力</a> |
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77 | </dd> |
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78 | |
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79 | <dt>住所</dt> |
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80 | <dd><span class="attention"><!--{$arrErr.pref}--><!--{$arrErr.addr01}--><!--{$arrErr.addr02}--></span> |
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81 | <select name="pref" style="<!--{$arrErr.pref|sfGetErrorColor}-->" class="boxMedium data-role-none"> |
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82 | <option value="" selected="selected">都道府県</option> |
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83 | <!--{html_options options=$arrPref selected=$arrForm.pref.value|default:$arrData.pref|h}--> |
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84 | </select> |
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85 | |
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86 | <input type="text" name="addr01" |
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87 | value="<!--{$arrForm.addr01.value|default:$arrData.addr01|h}-->" |
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88 | class="boxLong text data-role-none" |
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89 | style="<!--{$arrErr.addr01|sfGetErrorColor}-->" placeholder="市区町村名" /> |
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90 | <input type="text" name="addr02" |
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91 | value="<!--{$arrForm.addr02.value|default:$arrData.addr02|h}-->" |
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92 | class="boxLong text data-role-none" |
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93 | style="<!--{$arrErr.addr02|sfGetErrorColor}-->" placeholder="番地・ビル名" /></dd> |
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94 | |
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95 | <dt>電話番号</dt> |
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96 | <dd><span class="attention"><!--{$arrErr.tel01}--><!--{$arrErr.tel02}--><!--{$arrErr.tel03}--></span> |
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97 | <input type="tel" name="tel01" |
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98 | value="<!--{$arrForm.tel01.value|default:$arrData.tel01|h}-->" |
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99 | maxlength="<!--{$smarty.const.TEL_ITEM_LEN}-->" |
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100 | style="<!--{$arrErr.tel01|sfGetErrorColor}-->" |
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101 | class="boxShort text data-role-none" /> - |
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102 | <input type="tel" name="tel02" |
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103 | value="<!--{$arrForm.tel02.value|default:$arrData.tel02|h}-->" |
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104 | maxlength="<!--{$smarty.const.TEL_ITEM_LEN}-->" |
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105 | style="<!--{$arrErr.tel02|sfGetErrorColor}-->" class="boxShort text data-role-none" /> - |
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106 | <input type="text" name="tel03" |
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107 | value="<!--{$arrForm.tel03.value|default:$arrData.tel03|h}-->" |
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108 | maxlength="<!--{$smarty.const.TEL_ITEM_LEN}-->" |
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109 | style="<!--{$arrErr.tel03|sfGetErrorColor}-->" class="boxShort text data-role-none" /> |
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110 | </dd> |
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111 | |
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112 | <dt>メールアドレス<span class="attention">※</span></dt> |
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113 | <dd><span class="attention"><!--{$arrErr.email}--><!--{$arrErr.email02}--></span> |
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114 | <input type="email" name="email" |
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115 | value="<!--{$arrForm.email.value|default:$arrData.email|h}-->" |
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116 | style="<!--{$arrErr.email|sfGetErrorColor}-->" |
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117 | maxlength="<!--{$smarty.const.MTEXT_LEN}-->" class="boxLong text data-role-none" /> |
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118 | |
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119 | <!--{* ログインしていれば入力済みにする *}--> |
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120 | <!--{if $smarty.server.REQUEST_METHOD != 'POST' && $smarty.session.customer}--> |
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121 | <!--{assign var=email02 value=$arrData.email}--> |
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122 | <!--{/if}--> |
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123 | |
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124 | <input type="email" name="email02" |
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125 | value="<!--{$arrForm.email02.value|default:$email02|h}-->" |
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126 | style="<!--{$arrErr.email02|sfGetErrorColor}-->" |
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127 | maxlength="<!--{$smarty.const.MTEXT_LEN}-->" class="boxLong text data-role-none" placeholder="確認のため2回入力してください" /> |
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128 | </dd> |
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129 | |
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130 | <dt>お問い合わせ内容<span class="attention">※</span> |
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131 | <span class="mini">(全角<!--{$smarty.const.MLTEXT_LEN}-->字以下)</span></dt> |
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132 | <dd><span class="attention"><!--{$arrErr.contents}--></span> |
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133 | <textarea name="contents" class="txtarea" cols="60" rows="20" style="<!--{$arrErr.contents|sfGetErrorColor}-->"><!--{$arrForm.contents.value|h}--></textarea> |
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134 | </dd> |
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135 | |
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136 | </dl> |
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137 | |
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138 | <div class="btn_area"> |
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139 | <input type="submit" value="確認ページへ" class="btn data-role-none" name="confirm" id="confirm" /> |
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140 | </div> |
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141 | </form> |
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142 | </section> |
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143 | <!--▲CONTENTS--> |
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