[20116] | 1 | <!--{* |
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| 2 | /* |
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| 3 | * This file is part of EC-CUBE |
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| 4 | * |
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[22206] | 5 | * Copyright(c) 2000-2013 LOCKON CO.,LTD. All Rights Reserved. |
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[20116] | 6 | * |
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| 7 | * http://www.lockon.co.jp/ |
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| 8 | * |
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| 9 | * This program is free software; you can redistribute it and/or |
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| 10 | * modify it under the terms of the GNU General Public License |
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| 11 | * as published by the Free Software Foundation; either version 2 |
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| 12 | * of the License, or (at your option) any later version. |
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| 13 | * |
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| 14 | * This program is distributed in the hope that it will be useful, |
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| 15 | * but WITHOUT ANY WARRANTY; without even the implied warranty of |
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| 16 | * MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE. See the |
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| 17 | * GNU General Public License for more details. |
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| 18 | * |
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| 19 | * You should have received a copy of the GNU General Public License |
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| 20 | * along with this program; if not, write to the Free Software |
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| 21 | * Foundation, Inc., 59 Temple Place - Suite 330, Boston, MA 02111-1307, USA. |
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| 22 | */ |
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| 23 | *}--> |
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| 24 | |
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[21537] | 25 | <!--{strip}--> |
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| 26 | <form name="form1" method="post" action="?"> |
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| 27 | <input type="hidden" name="<!--{$smarty.const.TRANSACTION_ID_NAME}-->" value="<!--{$transactionid}-->"> |
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[22112] | 28 | <input type="hidden" name="mode" value="edit"> |
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[21537] | 29 | <input type="hidden" name="other_deliv_id" value="<!--{$smarty.session.other_deliv_id|h}-->"> |
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| 30 | <input type="hidden" name="ParentPage" value="<!--{$ParentPage}-->"> |
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[20116] | 31 | |
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[22112] | 32 | <font color="#FF0000">*は必須項目です。</font><br> |
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| 33 | <br> |
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[20116] | 34 | |
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[22112] | 35 | 【お名前】<font color="#FF0000">※</font><br> |
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| 36 | <font color="#FF0000"><!--{$arrErr.name01}--><!--{$arrErr.name02}--></font> |
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| 37 | 姓(例:渋谷)<br> |
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| 38 | <input type="text" name="name01" value="<!--{$arrForm.name01|h}-->" maxlength="<!--{$smarty.const.STEXT_LEN}-->" istyle="1"><br> |
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[20116] | 39 | |
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[22112] | 40 | 名(例:花子)<br> |
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| 41 | <input type="text" name="name02" value="<!--{$arrForm.name02|h}-->" maxlength="<!--{$smarty.const.STEXT_LEN}-->" istyle="1"><br> |
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| 42 | <font color="#FF0000"><!--{$arrErr.kana01}--><!--{$arrErr.kana02}--></font> |
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[20116] | 43 | |
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[22112] | 44 | フリガナ/姓(例:シブヤ)<br> |
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| 45 | <input type="text" name="kana01" value="<!--{$arrForm.kana01|h}-->" maxlength="<!--{$smarty.const.STEXT_LEN}-->" istyle="2"><br> |
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[20116] | 46 | |
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[22112] | 47 | フリガナ/名(例:ハナコ)<br> |
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| 48 | <input type="text" name="kana02" value="<!--{$arrForm.kana02|h}-->" maxlength="<!--{$smarty.const.STEXT_LEN}-->" istyle="2"><br> |
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[20116] | 49 | |
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[22112] | 50 | <br> |
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[20116] | 51 | |
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[22112] | 52 | <!--{assign var=key1 value="zip01"}--> |
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| 53 | <!--{assign var=key2 value="zip02"}--> |
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| 54 | 【郵便番号】<font color="#FF0000">*</font><br> |
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| 55 | <font color="#FF0000"><!--{$arrErr[$key1]}--><!--{$arrErr[$key2]}--></font> |
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| 56 | <!--{assign var="size1" value="`$smarty.const.ZIP01_LEN+2`"}--> |
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| 57 | <!--{assign var="size2" value="`$smarty.const.ZIP02_LEN+2`"}--> |
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| 58 | <input size="<!--{$size1}-->" type="text" name="zip01" value="<!--{if $arrForm.zip01 != ""}--><!--{$arrForm.zip01|h}--><!--{else}--><!--{$zip01|h}--><!--{/if}-->" maxlength="<!--{$smarty.const.ZIP01_LEN}-->" istyle="4"> |
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| 59 | - |
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| 60 | <input size="<!--{$size2}-->" type="text" name="zip02" value="<!--{if $arrForm.zip02 != ""}--><!--{$arrForm.zip02|h}--><!--{else}--><!--{$zip02|h}--><!--{/if}-->" maxlength="<!--{$smarty.const.ZIP02_LEN}-->" istyle="4"><br> |
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[20116] | 61 | |
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[22112] | 62 | <br> |
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| 63 | 【都道府県】<font color="#FF0000">*</font><br> |
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| 64 | <font color="#FF0000"><!--{$arrErr.pref}--></font> |
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| 65 | <select name="pref"> |
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| 66 | <option value="">都道府県を選択</option> |
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| 67 | <!--{html_options options=$arrPref selected=$arrForm.pref}--> |
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| 68 | </select><br> |
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[20116] | 69 | |
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[22112] | 70 | 【住所1】<font color="#FF0000">*</font><br> |
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| 71 | <font color="#FF0000"><!--{$arrErr.addr01}--></font> |
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| 72 | <input type="text" name="addr01" value="<!--{$arrForm.addr01|h}-->" istyle="1"><br> |
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[20116] | 73 | |
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[22112] | 74 | 【住所2】<font color="#FF0000">*</font><br> |
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| 75 | <font color="#FF0000"><!--{$arrErr.addr02}--></font> |
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| 76 | <input type="text" name="addr02" value="<!--{$arrForm.addr02|h}-->" istyle="1"><br> |
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[20116] | 77 | |
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[22112] | 78 | 【電話番号】<font color="#FF0000">*</font><br> |
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| 79 | <font color="#FF0000"><!--{$arrErr.tel01}--><!--{$arrErr.tel02}--><!--{$arrErr.tel03}--></font> |
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| 80 | <!--{assign var="size" value="`$smarty.const.TEL_ITEM_LEN+2`"}--> |
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| 81 | <input type="text" size="<!--{$size}-->" name="tel01" value="<!--{$arrForm.tel01|h}-->" maxlength="<!--{$smarty.const.TEL_ITEM_LEN}-->" istyle="4"> |
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| 82 | - |
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| 83 | <input type="text" size="<!--{$size}-->" name="tel02" value="<!--{$arrForm.tel02|h}-->" maxlength="<!--{$smarty.const.TEL_ITEM_LEN}-->" istyle="4"> |
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| 84 | - |
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| 85 | <input type="text" size="<!--{$size}-->" name="tel03" value="<!--{$arrForm.tel03|h}-->" maxlength="<!--{$smarty.const.TEL_ITEM_LEN}-->" istyle="4"><br> |
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[20116] | 86 | |
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[22112] | 87 | <br> |
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[20116] | 88 | |
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[22112] | 89 | <div align="center"><input type="submit" name="submit" value="次へ"></div> |
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[20116] | 90 | |
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[22112] | 91 | <!--{foreach from=$list_data key=key item=item}--> |
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| 92 | <input type="hidden" name="<!--{$key|h}-->" value="<!--{$item|h}-->"> |
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| 93 | <!--{/foreach}--> |
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[21537] | 94 | </form> |
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| 95 | |
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| 96 | <br> |
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| 97 | <!--{/strip}--> |
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