<!--{*
/*
 * This file is part of EC-CUBE
 *
 * Copyright(c) 2000-2010 LOCKON CO.,LTD. All Rights Reserved.
 *
 * http://www.lockon.co.jp/
 *
 * This program is free software; you can redistribute it and/or
 * modify it under the terms of the GNU General Public License
 * as published by the Free Software Foundation; either version 2
 * of the License, or (at your option) any later version.
 *
 * This program is distributed in the hope that it will be useful,
 * but WITHOUT ANY WARRANTY; without even the implied warranty of
 * MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE.  See the
 * GNU General Public License for more details.
 *
 * You should have received a copy of the GNU General Public License
 * along with this program; if not, write to the Free Software
 * Foundation, Inc., 59 Temple Place - Suite 330, Boston, MA  02111-1307, USA.
 */
*}-->
<form name="form1" method="post" action="?">
	<input type="hidden" name="mode" value="edit">
    <input type="hidden" name="ParentPage" value="<!--{$ParentPage}-->">

	<font color="#FF0000">*は必須項目です。</font><br>
	<br>

	【お名前】<font color="#FF0000">※</font><br>
	<font color="#FF0000"><!--{$arrErr.name01}--><!--{$arrErr.name02}--></font>
	姓（例：渋谷）<br>
	<input type="text" name="name01" value="<!--{$arrForm.name01|h}-->" maxlength="<!--{$smarty.const.STEXT_LEN}-->" istyle="1"><br>

	名（例：花子）<br>
	<input type="text" name="name02" value="<!--{$arrForm.name02|h}-->" maxlength="<!--{$smarty.const.STEXT_LEN}-->" istyle="1"><br>
	<font color="#FF0000"><!--{$arrErr.kana01}--><!--{$arrErr.kana02}--></font>

	カナ/姓（例：シブヤ）<br>
	<input type="text" name="kana01" value="<!--{$arrForm.kana01|h}-->" maxlength="<!--{$smarty.const.STEXT_LEN}-->" istyle="2"><br>

	カナ/名（例：ハナコ）<br>
	<input type="text" name="kana02" value="<!--{$arrForm.kana02|h}-->" maxlength="<!--{$smarty.const.STEXT_LEN}-->" istyle="2"><br>

	<br>

	<!--{assign var=key1 value="zip01"}-->
	<!--{assign var=key2 value="zip02"}-->
	【郵便番号】<font color="#FF0000">*</font><br>
	<font color="#FF0000"><!--{$arrErr[$key1]}--><!--{$arrErr[$key2]}--></font>
	<!--{assign var="size1" value="`$smarty.const.ZIP01_LEN+2`"}-->
	<!--{assign var="size2" value="`$smarty.const.ZIP02_LEN+2`"}-->
	<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">
	&nbsp;-&nbsp;
	<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>

	<br>
	【都道府県】<font color="#FF0000">*</font><br>
	<font color="#FF0000"><!--{$arrErr.pref}--></font>
	<select name="pref">
		<option value="">都道府県を選択</option>
		<!--{html_options options=$arrPref selected=$arrForm.pref}-->
	</select><br>

	【住所1】<font color="#FF0000">*</font><br>
	<font color="#FF0000"><!--{$arrErr.addr01}--></font>
	<input type="text" name="addr01" value="<!--{$arrForm.addr01|h}-->" istyle="1"><br>

	【住所2】<font color="#FF0000">*</font><br>
	<font color="#FF0000"><!--{$arrErr.addr02}--></font>
	<input type="text" name="addr02" value="<!--{$arrForm.addr02|h}-->" istyle="1"><br>

	【電話番号】<font color="#FF0000">*</font><br>
	<font color="#FF0000"><!--{$arrErr.tel01}--><!--{$arrErr.tel02}--><!--{$arrErr.tel03}--></font>
	<!--{assign var="size" value="`$smarty.const.TEL_ITEM_LEN+2`"}-->
	<input type="text" size="<!--{$size}-->" name="tel01" value="<!--{$arrForm.tel01|h}-->" maxlength="<!--{$smarty.const.TEL_ITEM_LEN}-->" istyle="4">
	&nbsp;-&nbsp;
	<input type="text" size="<!--{$size}-->" name="tel02" value="<!--{$arrForm.tel02|h}-->" maxlength="<!--{$smarty.const.TEL_ITEM_LEN}-->" istyle="4">
	&nbsp;-&nbsp;
	<input type="text" size="<!--{$size}-->" name="tel03" value="<!--{$arrForm.tel03|h}-->" maxlength="<!--{$smarty.const.TEL_ITEM_LEN}-->" istyle="4"><br>

	<br>

	<div align="center"><input type="submit" name="submit" value="次へ"></div>

	<!--{foreach from=$list_data key=key item=item}-->
		<input type="hidden" name="<!--{$key|h}-->" value="<!--{$item|h}-->">
	<!--{/foreach}-->
</form>

<br>
