1 <patTemplate:tmpl name="_widget">
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2 <script type="text/javascript">
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4 function sendmessage(){
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5 if (!window.confirm('お問い合わせを送信します')) return false;
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6 document.contactus_main.act.value = 'send';
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7 document.contactus_main.submit();
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12 <div align="center">
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13 <!-- m3:ErrorMessage -->
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14 <form method="post" name="contactus_main" class="form">
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15 <input type="hidden" name="act" />
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16 <table width="100%">
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18 <table width="100%">
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19 <tr><td class="contentheading" colspan="2">お問い合わせ</td></tr>
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20 <tr><td>お名前</td><td><input type="text" name="item_name" value="{NAME}" size="25" maxlength="50" {NAME_DISABLED} /> <font color="red">*必須</font></td></tr>
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21 <tr><td>お名前(フリガナ)</td><td><input type="text" name="item_name_kana" value="{NAME_KANA}" size="25" maxlength="50" {NAME_KANA_DISABLED} /> <font color="red">*必須</font></td></tr>
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22 <tr><td>Eメール</td><td><input type="text" name="item_email" value="{EMAIL}" size="25" maxlength="50" {EMAIL_DISABLED} /> <font color="red">*必須</font></td></tr>
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23 <tr><td>Eメール(確認)</td><td><input type="text" name="item_email2" value="{EMAIL2}" size="25" maxlength="50" {EMAIL2_DISABLED} /> <font color="red">*必須</font></td></tr>
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24 <patTemplate:tmpl name="show_company_name" visibility="hidden">
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25 <tr><td>会社名</td><td><input type="text" name="item_company_name" value="{COMPANY_NAME}" size="25" maxlength="50" {COMPANY_NAME_DISABLED} /> <font color="red">*必須</font></td></tr>
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27 <patTemplate:tmpl name="show_address" visibility="hidden">
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28 <tr><td>郵便番号</td><td><input type="text" name="item_zipcode" value="{ZIPCODE}" size="10" maxlength="10" {ZIPCODE_DISABLED} /> <font color="red">*必須</font></td></tr>
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29 <tr><td>都道府県</td><td>
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30 <select name="item_state" {STATE_DISABLED}>
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31 <option value=""> </option>
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32 <patTemplate:tmpl name="state_list">
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33 <option value="{VALUE}" {SELECTED}>{NAME}</option>
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36 <font color="red">*必須</font>
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38 <tr><td>住所</td><td><input type="text" name="item_address" value="{ADDRESS}" size="50" maxlength="50" {ADDRESS_DISABLED} /> <font color="red">*必須</font></td></tr>
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40 <patTemplate:tmpl name="show_tel" visibility="hidden">
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41 <tr><td>電話番号</td><td><input type="text" name="item_phone" value="{PHONE}" size="20" maxlength="20" {PHONE_DISABLED} /> <font color="red">*必須</font></td></tr>
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43 <tr><td>お問い合わせ内容</td><td><textarea name="item_body" rows="10" cols="40" {BODY_DISABLED}>{BODY}</textarea><br /><font color="red">*必須</font></td></tr>
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44 <tr><td colspan="2"> </td></tr>
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45 <tr><td colspan="2" align="right">{MESSAGE}
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46 <input type="button" class="button" onclick="sendmessage();" value="{SEND_BUTTON_LABEL}" {SEND_BUTTON_DISABLED} />
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