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) 2000-2007 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 | <div align="center">会員情報入力 2/3</div> |
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25 | <hr> |
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26 | <form name="form1" method="post" action="<!--{$smarty.server.PHP_SELF|escape}-->"> |
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27 | <input type="hidden" name="mode" value="set2"> |
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28 | |
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29 | <font color="#FF0000">*は必須項目です。</font><br> |
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30 | <br> |
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31 | |
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32 | 【性別】<font color="#FF0000">*</font><br> |
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33 | <font color="#FF0000"><!--{$arrErr.sex}--></font> |
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34 | <input type="radio" name="sex" value="1" <!--{if $sex eq 1}-->checked<!--{/if}--> />男性 <input type="radio" name="sex" value="2" <!--{if $sex eq 2}-->checked<!--{/if}--> />女性<br> |
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35 | |
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36 | 【生年月日】<br> |
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37 | <font color="#FF0000"><!--{$arrErr.year}--><!--{$arrErr.month}--><!--{$arrErr.day}--></font> |
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38 | <input type="text" name="year" value="<!--{$year|escape}-->" size="4" maxlength="4" istyle="4">年<br> |
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39 | <select name="month"> |
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40 | <!--{html_options options=$arrMonth selected=$month}--> |
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41 | </select>月<br> |
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42 | <select name="day"> |
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43 | <!--{html_options options=$arrDay selected=$day}--> |
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44 | </select>日<br> |
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45 | |
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46 | <!--{assign var=key1 value="zip01"}--> |
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47 | <!--{assign var=key2 value="zip02"}--> |
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48 | 【郵便番号】<font color="#FF0000">*</font><br> |
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49 | <font color="#FF0000"><!--{$arrErr[$key1]}--><!--{$arrErr[$key2]}--></font> |
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50 | <!--{assign var="size1" value="`$smarty.const.ZIP01_LEN+2`"}--> |
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51 | <!--{assign var="size2" value="`$smarty.const.ZIP02_LEN+2`"}--> |
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52 | <input size="<!--{$size1}-->" type="text" name="zip01" value="<!--{if $zip01 == ""}--><!--{$arrOtherDeliv.zip01|escape}--><!--{else}--><!--{$zip01|escape}--><!--{/if}-->" maxlength="<!--{$smarty.const.ZIP01_LEN}-->" istyle="4"> |
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53 | - |
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54 | <input size="<!--{$size2}-->" type="text" name="zip02" value="<!--{if $zip02 == ""}--><!--{$arrOtherDeliv.zip02|escape}--><!--{else}--><!--{$zip02|escape}--><!--{/if}-->" maxlength="<!--{$smarty.const.ZIP02_LEN}-->" istyle="4"><br> |
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55 | |
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56 | <input type="submit" name="submit" value="次へ"><br> |
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57 | <input type="submit" name="return" value="戻る"> |
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58 | |
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59 | <!--{foreach from=$list_data key=key item=item}--> |
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60 | <input type="hidden" name="<!--{$key|escape}-->" value="<!--{$item|escape}-->"> |
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61 | <!--{/foreach}--> |
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62 | </form> |
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63 | |
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64 | <br> |
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65 | <hr> |
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66 | |
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67 | <a href="<!--{$smarty.const.MOBILE_URL_CART_TOP}-->" accesskey="9"><!--{9|numeric_emoji}-->かごを見る</a><br> |
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68 | <a href="<!--{$smarty.const.MOBILE_URL_SITE_TOP}-->" accesskey="0"><!--{0|numeric_emoji}-->TOPページへ</a><br> |
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69 | |
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70 | <br> |
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71 | |
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72 | <!-- ▼フッター ここから --> |
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73 | <!--{include file='footer.tpl'}--> |
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74 | <!-- ▲フッター ここまで --> |
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