| 1 | <!--{* |
|---|
| 2 | /* |
|---|
| 3 | * This file is part of EC-CUBE |
|---|
| 4 | * |
|---|
| 5 | * Copyright(c) 2000-2010 LOCKON CO.,LTD. All Rights Reserved. |
|---|
| 6 | * |
|---|
| 7 | * http://www.lockon.co.jp/ |
|---|
| 8 | * |
|---|
| 9 | * This program is free software; you can redistribute it and/or |
|---|
| 10 | * modify it under the terms of the GNU General Public License |
|---|
| 11 | * as published by the Free Software Foundation; either version 2 |
|---|
| 12 | * of the License, or (at your option) any later version. |
|---|
| 13 | * |
|---|
| 14 | * This program is distributed in the hope that it will be useful, |
|---|
| 15 | * but WITHOUT ANY WARRANTY; without even the implied warranty of |
|---|
| 16 | * MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE. See the |
|---|
| 17 | * GNU General Public License for more details. |
|---|
| 18 | * |
|---|
| 19 | * You should have received a copy of the GNU General Public License |
|---|
| 20 | * along with this program; if not, write to the Free Software |
|---|
| 21 | * Foundation, Inc., 59 Temple Place - Suite 330, Boston, MA 02111-1307, USA. |
|---|
| 22 | */ |
|---|
| 23 | *}--> |
|---|
| 24 | <form name="form1" id="form1" method="post" action="?" utn> |
|---|
| 25 | <input type="hidden" name="mode" value="complete"> |
|---|
| 26 | <input type="hidden" name="<!--{$smarty.const.TRANSACTION_ID_NAME}-->" value="<!--{$transactionid}-->" /> |
|---|
| 27 | <!--{foreach from=$arrForm key=key item=item}--> |
|---|
| 28 | <input type="hidden" name="<!--{$key|h}-->" value="<!--{$item|h}-->"> |
|---|
| 29 | <!--{/foreach}--> |
|---|
| 30 | 下記の内容でご登録してもよろしいですか？<br> |
|---|
| 31 | <br> |
|---|
| 32 | ●ﾒｰﾙｱﾄﾞﾚｽ<br> |
|---|
| 33 | <!--{$arrForm.email|h}--><br> |
|---|
| 34 | |
|---|
| 35 | ●ﾊﾟｽﾜｰﾄﾞ確認用質問<br> |
|---|
| 36 | <!--{$arrReminder[$arrForm.reminder]|h}--><br> |
|---|
| 37 | |
|---|
| 38 | ●質問の答え<br> |
|---|
| 39 | <!--{$arrForm.reminder_answer|h}--><br> |
|---|
| 40 | |
|---|
| 41 | ●お名前<br> |
|---|
| 42 | <!--{$arrForm.name01|h}--> <!--{$arrForm.name02|h}--><br> |
|---|
| 43 | |
|---|
| 44 | ●お名前(フリガナ)<br> |
|---|
| 45 | <!--{$arrForm.kana01|h}--> <!--{$arrForm.kana02|h}--><br> |
|---|
| 46 | |
|---|
| 47 | ●性別<br> |
|---|
| 48 | <!--{if $arrForm.sex eq 1}-->男性<!--{else}-->女性<!--{/if}--><br> |
|---|
| 49 | |
|---|
| 50 | ●生年月日<br> |
|---|
| 51 | <!--{if strlen($arrForm.year) > 0 && strlen($arrForm.month) > 0 && strlen($arrForm.day) > 0}--><!--{$arrForm.year|h}-->年<!--{$arrForm.month|h}-->月<!--{$arrForm.day|h}-->日生まれ<!--{else}-->未登録<!--{/if}--><br> |
|---|
| 52 | |
|---|
| 53 | ●住所<br> |
|---|
| 54 | 〒<!--{$arrForm.zip01|h}--> - <!--{$arrForm.zip02|h}--><br> |
|---|
| 55 | <!--{$arrPref[$arrForm.pref]|h}--><!--{$arrForm.addr01|h}--><!--{$arrForm.addr02|h}--><br> |
|---|
| 56 | |
|---|
| 57 | ●電話番号<br> |
|---|
| 58 | <!--{$arrForm.tel01|h}-->-<!--{$arrForm.tel02|h}-->-<!--{$arrForm.tel03|h}--><br> |
|---|
| 59 | |
|---|
| 60 | ●ﾒｰﾙﾏｶﾞｼﾞﾝﾞ<br> |
|---|
| 61 | <!--{if $arrForm.mailmaga_flg eq 2}-->希望する<!--{else}-->希望しない<!--{/if}--><br> |
|---|
| 62 | <br> |
|---|
| 63 | |
|---|
| 64 | <input type="submit" name="submit" value="登録"><br> |
|---|
| 65 | <input type="submit" name="return" value="戻る"> |
|---|
| 66 | </form> |
|---|
