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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5 | * Copyright(c) 2000-2012 LOCKON CO.,LTD. All Rights Reserved. |
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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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25 | <dt>Name <span class="attention">*</span></dt> |
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26 | <dd> |
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27 | <!--{assign var=key1 value="`$prefix`name01"}--> |
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28 | <!--{assign var=key2 value="`$prefix`name02"}--> |
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29 | <!--{if $arrErr[$key1] || $arrErr[$key2]}--> |
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30 | <div class="attention"><!--{$arrErr[$key1]}--><!--{$arrErr[$key2]}--></div> |
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31 | <!--{/if}--> |
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32 | <input type="text" name="<!--{$key1}-->" value="<!--{$arrForm[$key1]|h}-->" maxlength="<!--{$smarty.const.STEXT_LEN}-->" class="boxHarf text data-role-none" placeholder="Last name" /> |
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33 | <input type="text" name="<!--{$key2}-->" value="<!--{$arrForm[$key2]|h}-->" maxlength="<!--{$smarty.const.STEXT_LEN}-->" class="boxHarf text data-role-none" placeholder="Name" /> |
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34 | </dd> |
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35 | |
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36 | <dt>お名前(フリガナ) <span class="attention">*</span></dt> |
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37 | <dd> |
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38 | <!--{assign var=key1 value="`$prefix`kana01"}--> |
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39 | <!--{assign var=key2 value="`$prefix`kana02"}--> |
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40 | <!--{if $arrErr[$key1] || $arrErr[$key2]}--> |
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41 | <div class="attention"><!--{$arrErr[$key1]}--><!--{$arrErr[$key2]}--></div> |
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42 | <!--{/if}--> |
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43 | <input type="text" name="<!--{$key1}-->" value="<!--{$arrForm[$key1]|h}-->" maxlength="<!--{$smarty.const.STEXT_LEN}-->" class="boxHarf text data-role-none" placeholder="セイ"/> <input type="text" name="<!--{$key2}-->" value="<!--{$arrForm[$key2]|h}-->" maxlength="<!--{$smarty.const.STEXT_LEN}-->" class="boxHarf text data-role-none" placeholder="メイ"/> |
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44 | </dd> |
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45 | |
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46 | <dt>Postal code <span class="attention">*</span></dt> |
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47 | <dd> |
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48 | <!--{assign var=key1 value="`$prefix`zip01"}--> |
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49 | <!--{assign var=key2 value="`$prefix`zip02"}--> |
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50 | <!--{assign var=key4 value="`$prefix`addr01"}--> |
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51 | <!--{assign var=key5 value="`$prefix`addr02"}--> |
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52 | <!--{if $arrErr[$key1] || $arrErr[$key2]}--> |
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53 | <div class="attention"><!--{$arrErr[$key1]}--><!--{$arrErr[$key2]}--></div> |
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54 | <!--{/if}--> |
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55 | <p><input type="tel" name="<!--{$key1}-->" value="<!--{$arrForm[$key1]|h}-->" max="<!--{$smarty.const.ZIP01_LEN}-->" class="boxShort text data-role-none" /> - <input type="tel" name="<!--{$key2}-->" value="<!--{$arrForm[$key2]|h}-->" maxlength="<!--{$smarty.const.ZIP02_LEN}-->" class="boxShort text data-role-none" /> <a href="http://search.post.japanpost.jp/zipcode/" target="_blank" rel="external"><span class="fn">Postal code search</span></a></p> |
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56 | |
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57 | <a href="javascript:fnCallAddress('<!--{$smarty.const.INPUT_ZIP_URLPATH}-->', '<!--{$key1}-->', '<!--{$key2}-->', '<!--{$key3}-->', '<!--{$key4}-->');" class="btn_sub btn_inputzip">Automatic address input from postal code</a> |
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58 | </dd> |
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59 | |
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60 | <dt>Address <span class="attention">*</span></dt> |
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61 | <dd> |
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62 | <!--{if $arrErr[$key4] || $arrErr[$key5]}--> |
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63 | <div class="attention"><!--{$arrErr[$key4]}--><!--{$arrErr[$key5]}--></div> |
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64 | <!--{/if}--> |
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65 | |
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66 | <input type="text" name="<!--{$key4}-->" value="<!--{$arrForm[$key4]|h}-->" class="boxLong text top data-role-none" placeholder="Municipality name" /> |
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67 | <input type="text" name="<!--{$key5}-->" value="<!--{$arrForm[$key5]|h}-->" class="boxLong text data-role-none" placeholder="House number/building name" /> |
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68 | </dd> |
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69 | |
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70 | <dt>Telephone number <span class="attention">*</span></dt> |
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71 | <dd> |
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72 | <!--{assign var=key1 value="`$prefix`tel01"}--> |
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73 | <!--{assign var=key2 value="`$prefix`tel02"}--> |
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74 | <!--{assign var=key3 value="`$prefix`tel03"}--> |
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75 | <!--{if $arrErr[$key1] || $arrErr[$key2] || $arrErr[$key3]}--> |
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76 | <div class="attention"><!--{$arrErr[$key1]}--><!--{$arrErr[$key2]}--><!--{$arrErr[$key3]}--></div> |
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77 | <!--{/if}--> |
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78 | <input type="tel" name="<!--{$key1}-->" value="<!--{$arrForm[$key1]|h}-->" maxlength="<!--{$smarty.const.TEL_ITEM_LEN}-->" class="boxShort text data-role-none" /> - <input type="tel" name="<!--{$key2}-->" value="<!--{$arrForm[$key2]|h}-->" maxlength="<!--{$smarty.const.TEL_ITEM_LEN}-->" class="boxShort text data-role-none" /> - <input type="tel" name="<!--{$key3}-->" value="<!--{$arrForm[$key3]|h}-->" maxlength="<!--{$smarty.const.TEL_ITEM_LEN}-->" class="boxShort text data-role-none" /> |
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79 | </dd> |
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80 | |
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81 | <dt>FAX</dt> |
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82 | <dd> |
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83 | <!--{assign var=key1 value="`$prefix`fax01"}--> |
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84 | <!--{assign var=key2 value="`$prefix`fax02"}--> |
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85 | <!--{assign var=key3 value="`$prefix`fax03"}--> |
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86 | <!--{if $arrErr[$key1] || $arrErr[$key2] || $arrErr[$key3]}--> |
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87 | <div class="attention"><!--{$arrErr[$key1]}--><!--{$arrErr[$key2]}--><!--{$arrErr[$key3]}--></div> |
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88 | <!--{/if}--> |
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89 | <input type="tel" name="<!--{$key1}-->" value="<!--{$arrForm[$key1]|h}-->" maxlength="<!--{$smarty.const.TEL_ITEM_LEN}-->" class="boxShort text data-role-none" /> - <input type="tel" name="<!--{$key2}-->" value="<!--{$arrForm[$key2]|h}-->" maxlength="<!--{$smarty.const.TEL_ITEM_LEN}-->" class="boxShort text data-role-none" /> - <input type="tel" name="<!--{$key3}-->" value="<!--{$arrForm[$key3]|h}-->" maxlength="<!--{$smarty.const.TEL_ITEM_LEN}-->" class="boxShort text data-role-none" /> |
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90 | </dd> |
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91 | |
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92 | <!--{if $flgFields > 1}--> |
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93 | |
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94 | <dt>E-mail address <span class="attention">*</span></dt> |
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95 | <dd> |
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96 | <!--{assign var=key1 value="`$prefix`email"}--> |
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97 | <!--{assign var=key2 value="`$prefix`email02"}--> |
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98 | <!--{if $arrErr[$key1] || $arrErr[$key2]}--> |
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99 | <div class="attention"><!--{$arrErr[$key1]}--><!--{$arrErr[$key2]}--></div> |
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100 | <!--{/if}--> |
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101 | <input type="email" name="<!--{$key1}-->" value="<!--{$arrForm[$key1]|h}-->" class="boxLong text top data-role-none" /> |
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102 | <input type="email" name="<!--{$key2}-->" value="<!--{$arrForm[$key2]|h}-->" class="boxLong text data-role-none" placeholder="Input twice for confirmation" /> |
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103 | </dd> |
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104 | |
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105 | <!--{if $emailMobile}--> |
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106 | <dt>Mobile e-mail address <span class="attention">*</span></dt> |
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107 | <dd> |
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108 | <!--{assign var=key1 value="`$prefix`email_mobile"}--> |
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109 | <!--{assign var=key2 value="`$prefix`email_mobile02"}--> |
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110 | <!--{if $arrErr[$key1] || $arrErr[$key2]}--> |
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111 | <div class="attention"><!--{$arrErr[$key1]}--><!--{$arrErr[$key2]}--></div> |
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112 | <!--{/if}--> |
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113 | <input type="email" name="<!--{$key1}-->" value="<!--{$arrForm[$key1]|h}-->" class="boxLong text top data-role-none" /> |
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114 | <input type="email" name="<!--{$key2}-->" value="<!--{$arrForm[$key2]|h}-->" class="boxLong text data-role-none" placeholder="Input twice for confirmation" /> |
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115 | </dd> |
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116 | <!--{/if}--> |
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117 | |
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118 | <dt>Gender <span class="attention">*</span></dt> |
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119 | <dd> |
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120 | <!--{assign var=key1 value="`$prefix`sex"}--> |
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121 | <!--{if $arrErr[$key1]}--> |
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122 | <div class="attention"><!--{$arrErr[$key1]}--></div> |
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123 | <!--{/if}--> |
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124 | <span style="<!--{$arrErr[$key1]|sfGetErrorColor}-->"> |
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125 | <p><input type="radio" id="man" name="<!--{$key1}-->" value="1" <!--{if $arrForm[$key1] eq 1}--> checked="checked" <!--{/if}--> class="data-role-none" /><label for="man">Male</label> |
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126 | <input type="radio" id="woman" name="<!--{$key1}-->" value="2" <!--{if $arrForm[$key1] eq 2}--> checked="checked" <!--{/if}--> class="data-role-none" /><label for="woman">Female</label></p> |
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127 | </span> |
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128 | </dd> |
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129 | |
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130 | <dt>Occupation</dt> |
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131 | <dd> |
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132 | <!--{assign var=key1 value="`$prefix`job"}--> |
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133 | <!--{if $arrErr[$key1]}--> |
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134 | <div class="attention"><!--{$arrErr[$key1]}--></div> |
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135 | <!--{/if}--> |
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136 | <select name="<!--{$key1}-->" class="boxLong data-role-none"> |
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137 | <option value="" selected="selected">Please make a selection</option> |
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138 | <!--{html_options options=$arrJob selected=$arrForm[$key1]}--> |
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139 | </select> |
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140 | </dd> |
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141 | |
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142 | <dt>Date of birth</dt> |
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143 | <dd> |
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144 | <!--{assign var=errBirth value="`$arrErr.year``$arrErr.month``$arrErr.day`"}--> |
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145 | <!--{if $errBirth}--> |
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146 | <div class="attention"><!--{$errBirth}--></div> |
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147 | <!--{/if}--> |
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148 | <select name="year" style="<!--{$errBirth|sfGetErrorColor}-->" class="boxShort data-role-none"> |
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149 | <!--{html_options options=$arrYear selected=$arrForm.year|default:''}--> |
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150 | </select><span class="selectdate">年</span> |
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151 | <select name="month" style="<!--{$errBirth|sfGetErrorColor}-->" class="boxShort data-role-none"> |
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152 | <!--{html_options options=$arrMonth selected=$arrForm.month|default:''}--> |
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153 | </select><span class="selectdate">月</span> |
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154 | <select name="day" style="<!--{$errBirth|sfGetErrorColor}-->" class="boxShort data-role-none"> |
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155 | <!--{html_options options=$arrDay selected=$arrForm.day|default:''}--> |
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156 | </select><span class="selectdate">日</span> |
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157 | </dd> |
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158 | |
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159 | <!--{if $flgFields > 2}--> |
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160 | <dt>Desired password <span class="attention">*</span></dt> |
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161 | <dd> |
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162 | <!--{if $arrErr.password || $arrErr.password02}--> |
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163 | <div class="attention"><!--{$arrErr.password}--><!--{$arrErr.password02}--></div> |
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164 | <!--{/if}--> |
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165 | <input type="password" name="password" value="<!--{$arrForm.password|h}-->" maxlength="<!--{$smarty.const.PASSWORD_MAX_LEN}-->" style="<!--{$arrErr.password|sfGetErrorColor}-->" class="boxLong text top data-role-none" /> |
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166 | <input type="password" name="password02" value="<!--{$arrForm.password02|h}-->" maxlength="<!--{$smarty.const.PASSWORD_MAX_LEN}-->" style="<!--{$arrErr.password|cat:$arrErr.password02|sfGetErrorColor}-->" class="boxLong text data-role-none" placeholder="Input twice for confirmation" /> |
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167 | <p class="attention mini">Half-width alphanumeric characters <!--{$smarty.const.PASSWORD_MIN_LEN}--> to <!--{$smarty.const.PASSWORD_MAX_LEN}--> characters</p> |
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168 | </dd> |
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169 | |
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170 | <dt>Hint for when you have forgotten your password <span class="attention">*</span></dt> |
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171 | <dd> |
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172 | <!--{if $arrErr.reminder || $arrErr.reminder_answer}--> |
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173 | <div class="attention"><!--{$arrErr.reminder}--><!--{$arrErr.reminder_answer}--></div> |
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174 | <!--{/if}--> |
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175 | <select name="reminder" style="<!--{$arrErr.reminder|sfGetErrorColor}-->" class="boxLong top data-role-none"> |
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176 | <option value="" selected="selected">Select a question</option> |
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177 | <!--{html_options options=$arrReminder selected=$arrForm.reminder}--> |
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178 | </select> |
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179 | |
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180 | <input type="text" name="reminder_answer" value="<!--{$arrForm.reminder_answer|h}-->" class="boxLong text data-role-none" placeholder="Enter the answer to the question" /> |
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181 | </dd> |
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182 | |
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183 | <dt>Mail magazine <span class="attention">*</span></dt> |
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184 | <dd> |
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185 | <!--{if $arrErr.mailmaga_flg}--> |
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186 | <div class="attention"><!--{$arrErr.mailmaga_flg}--></div> |
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187 | <!--{/if}--> |
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188 | <ul style="<!--{$arrErr.mailmaga_flg|sfGetErrorColor}-->"> |
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189 | <li><input type="radio" name="mailmaga_flg" value="1" id="html" <!--{if $arrForm.mailmaga_flg eq 1}--> checked="checked" <!--{/if}--> class="data-role-none" /><label for="html">Receive HTML mail + text mail</label></li> |
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190 | <li><input type="radio" name="mailmaga_flg" value="2" id="text" <!--{if $arrForm.mailmaga_flg eq 2}--> checked="checked" <!--{/if}--> class="data-role-none" /><label for="text">Receive a text mail</label></li> |
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191 | <li><input type="radio" name="mailmaga_flg" value="3" id="no" <!--{if $arrForm.mailmaga_flg eq 3}--> checked="checked" <!--{/if}--> class="data-role-none" /><label for="no">Not accepted</label></li> |
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192 | </ul> |
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193 | </dd> |
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194 | <!--{/if}--> |
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195 | <!--{/if}--> |
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