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Commit
0ef72ae6
authored
May 25, 2020
by
Orine Matsui
Browse files
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Email Patches
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achievement-official.conohawing.com/common_previous/css/contact.css
achievement-official.conohawing.com/contact/form/index.php
achievement-official.conohawing.com/common_previous/css/contact.css
View file @
0ef72ae6
...
@@ -255,6 +255,665 @@ contact.css
...
@@ -255,6 +255,665 @@ contact.css
.header-contact
{
text-align
:
center
;
font-size
:
16px
;
margin-bottom
:
60px
;
}
button
{
font-family
:
"ヒラギノ角ゴ Pro"
,
"Hiragino Kaku Gothic Pro"
,
"メイリオ"
,
"Meiryo"
,
sans-serif
;
-webkit-text-size-adjust
:
100%
;
-webkit-font-smoothing
:
antialiased
;
-moz-osx-font-smoothing
:
grayscale
;
text-rendering
:
optimizeLegibility
;
text-size-adjust
:
none
;
}
.p-contact
a
.link-btn-arrow
{
margin
:
30px
0
60px
;
}
.form_row
{
display
:
-webkit-box
;
display
:
-webkit-flex
;
display
:
-ms-flexbox
;
display
:
flex
;
border-bottom
:
1px
solid
#dcdcdc
;
}
.form_row
label
{
font-size
:
16px
;
}
.form_row
.left
{
position
:
relative
;
width
:
33.75%
;
padding-left
:
5%
;
display
:
-webkit-box
;
display
:
-webkit-flex
;
display
:
-ms-flexbox
;
display
:
flex
;
-webkit-flex-wrap
:
wrap
;
-ms-flex-wrap
:
wrap
;
flex-wrap
:
wrap
;
-webkit-box-align
:
center
;
-webkit-align-items
:
center
;
-ms-flex-align
:
center
;
align-items
:
center
;
font-size
:
16px
;
}
.form_row
.right
{
width
:
calc
(
100%
-
33.75%
);
display
:
-webkit-box
;
display
:
-webkit-flex
;
display
:
-ms-flexbox
;
display
:
flex
;
-webkit-flex-wrap
:
wrap
;
-ms-flex-wrap
:
wrap
;
flex-wrap
:
wrap
;
-webkit-box-align
:
center
;
-webkit-align-items
:
center
;
-ms-flex-align
:
center
;
align-items
:
center
;
}
.form_row
.form_checkbox
,
.form_row
.right
label
{
display
:
-webkit-box
;
display
:
-webkit-flex
;
display
:
-ms-flexbox
;
display
:
flex
;
-webkit-flex-wrap
:
wrap
;
-ms-flex-wrap
:
wrap
;
flex-wrap
:
wrap
;
-webkit-box-align
:
center
;
-webkit-align-items
:
center
;
-ms-flex-align
:
center
;
align-items
:
center
;
}
.form_row.form_row_02
.right
label
,
.form_row.form_row_03
.right
label
{
width
:
calc
(
50%
-
20px
)
;
}
.form_row.form_row_02
.right
label
+
label
{
margin-left
:
20px
;
}
.form_row.form_row_02
.right
.label_text
{
display
:
inline-block
;
width
:
40px
;
}
.form_row
.form-group-02
{
width
:
100%
;
}
.form_row.form_row_content
.right
label
:not
(
:first-child
)
{
margin-left
:
40px
;
}
.form_row
ul
{
margin-top
:
40px
;
}
.form_row
ul
li
{
margin-bottom
:
20px
;
}
.required
{
display
:
inline-block
;
margin-left
:
20px
;
padding
:
2px
6px
;
background
:
#dc3b3a
;
font-size
:
10px
;
color
:
#fff
;
line-height
:
14px
;
}
.required.error
{
background
:
#dc3b3a
;
}
input
[
type
=
"radio"
]
{
visibility
:
hidden
;
width
:
0
;
margin
:
0
;
}
input
[
type
=
"radio"
]
+
.label_text
{
padding-left
:
24px
;
position
:
relative
;
margin
:
20px
20px
20px
0
;
}
input
[
type
=
"radio"
]
+
.label_text
:before
{
content
:
""
;
display
:
block
;
position
:
absolute
;
top
:
4px
;
left
:
0
;
width
:
15px
;
height
:
15px
;
border
:
1px
solid
#918d8a
;
border-radius
:
50%
;
}
input
[
type
=
"radio"
]
:checked
+
.label_text
::after
{
content
:
""
;
display
:
block
;
position
:
absolute
;
top
:
7px
;
left
:
3px
;
width
:
11px
;
height
:
11px
;
background
:
#060605
;
border-radius
:
50%
;
}
.form_checkbox
{
position
:
relative
;
}
input
[
type
=
"checkbox"
]
{
visibility
:
hidden
;
width
:
0
;
margin
:
0
;
}
input
[
type
=
"checkbox"
]
+
.label_text
{
padding-left
:
24px
;
position
:
relative
;
margin
:
5px
20px
5px
0
;
}
input
[
type
=
"checkbox"
]
+
.label_text
:before
{
content
:
""
;
display
:
block
;
position
:
absolute
;
top
:
4px
;
left
:
0
;
width
:
15px
;
height
:
15px
;
border
:
1px
solid
#918d8a
;
}
input
[
type
=
"checkbox"
]
:checked
+
.label_text
::after
{
content
:
""
;
display
:
block
;
position
:
absolute
;
top
:
0px
;
left
:
5px
;
width
:
7px
;
height
:
14px
;
transform
:
rotate
(
40deg
);
border-bottom
:
2px
solid
#060605
;
border-right
:
2px
solid
#060605
;
}
.form_checkbox
input
[
type
=
"checkbox"
]
+
.label_text
:before
{
}
.form_checkbox
input
[
type
=
"checkbox"
]
:checked
+
.label_text
::after
{
}
textarea
,
input
[
type
=
"text"
],
input
[
type
=
"url"
],
input
[
type
=
"email"
]
{
display
:
block
;
padding
:
12px
;
font-size
:
16px
;
line-height
:
1.571
;
background-color
:
#f8f8f8
;
border-width
:
1px
;
border
:
1px
solid
#dcdcdc
!important
;
-webkit-box-shadow
:
none
;
box-shadow
:
none
;
-webkit-transition
:
border-color
ease-in-out
.15s
,
-webkit-box-shadow
ease-in-out
.15s
;
-o-transition
:
border-color
ease-in-out
.15s
,
box-shadow
ease-in-out
.15s
;
transition
:
border-color
ease-in-out
.15s
,
box-shadow
ease-in-out
.15s
;
outline
:
none
!important
;
}
input
[
type
=
"text"
],
input
[
type
=
"url"
],
input
[
type
=
"email"
]
{
height
:
50px
;
}
.form_select
{
position
:
relative
;
min-width
:
126px
;
}
select
::-ms-expand
{
display
:
none
;
}
.form_select
:after
{
content
:
'▼'
;
font-size
:
10px
;
color
:
#fff
;
right
:
0
;
top
:
0
;
padding
:
18px
10px
18px
;
position
:
absolute
;
pointer-events
:
none
;
width
:
10px
;
height
:
14px
;
background
:
#333
;
}
.form_select
select
{
-webkit-appearance
:
none
;
-moz-appearance
:
none
;
appearance
:
none
;
display
:
block
;
width
:
100%
;
max-width
:
244px
;
height
:
50px
;
float
:
right
;
padding
:
12px
14px
;
font-size
:
16px
;
line-height
:
1.6
;
color
:
#333
;
background-color
:
#f8f8f8
;
background-image
:
none
;
border
:
1px
solid
#dcdcdc
!important
;
-ms-word-break
:
normal
;
word-break
:
normal
;
outline
:
none
!important
;
}
.form_select
select
+
.label_text
{
margin-left
:
30px
;
}
.form_row
.right
>
p
,
input
[
type
=
"radio"
],
input
[
type
=
"radio"
]
+
label
{
margin-top
:
15px
;
margin-bottom
:
15px
;
font-size
:
16px
;
}
input
[
type
=
"checkbox"
],
input
[
type
=
"checkbox"
]
+
label
{
margin-top
:
8px
;
}
textarea
,
input
[
type
=
"text"
],
input
[
type
=
"url"
],
input
[
type
=
"email"
]
{
margin-top
:
20px
;
margin-bottom
:
20px
;
}
.form_select
{
margin-top
:
20px
;
margin-bottom
:
20px
;
}
textarea
,
input
[
type
=
"text"
],
input
[
type
=
"url"
],
input
[
type
=
"email"
]
{
width
:
90%
;
}
#last_name
,
#first_name
,
#last_name_kana
,
#first_name_kana
{
margin-left
:
8px
;
margin-right
:
18px
;
width
:
300px
;
}
#start_time
,
#end_time
{
width
:
calc
(
50%
-
30px
);
}
#start_time
{
margin-right
:
8px
;
}
#end_time
{
margin-left
:
8px
;
}
#number_people
{
margin-right
:
8px
;
width
:
calc
(
50%
-
30px
);
}
#first_name
,
#first_name_kana
{
margin-right
:
0
;
}
#year
{
width
:
144px
;
margin-right
:
10px
;
}
#zip
,
#month
,
#day
,
#pref
{
width
:
244px
;
}
#town
,
#building
{
margin-top
:
10px
;
width
:
90%
;
}
#start_time
,
#end_time
{
margin-top
:
0
;
margin-bottom
:
0
;
}
#space1
+
label
,
#space2
+
label
,
#corporation
+
label
,
#individual
+
label
,
#web_search
+
label
,
#introduction
+
label
{
margin-top
:
15px
;
}
#space7
+
label
,
#other_opportunity
+
label
,
#user_agreement
+
label
,
#finished
+
label
{
margin-bottom
:
15px
;
}
#finished
+
label
{
margin-top
:
0
;
}
.form_select
{
margin-left
:
16px
;
margin-right
:
6px
;
}
.form_select
:first-child
{
margin-left
:
0
;
}
.form_checkbox
{
margin-top
:
20px
;
margin-bottom
:
20px
;
}
.observation_day_text
{
margin-top
:
-9px
!important
;
margin-bottom
:
15px
!important
;
}
/* バリデーションエラーメッセージ */
.form_row
.right
.alert_text_pc
{
display
:
inline-block
!important
;
}
.form_row
.right
.alert_text_sp
{
display
:
none
!important
;
}
.form_row
.right
.alert_area
{
width
:
100%
;
}
.form_row
.right
p
.alert_text
{
margin-top
:
-10px
;
margin-bottom
:
10px
;
width
:
100%
;
color
:
#dc3b3a
;
font-size
:
14px
;
}
.form_row
.right
.alert_area
{
margin-top
:
-10px
;
}
.form_row
.right
.form_checkbox
p
.alert_text
{
margin-top
:
0px
;
}
.form_row
.right
.alert_area
p
.alert_text
{
margin-top
:
0
;
display
:
inline-block
;
width
:
auto
;
}
.form_row_02
.right
.alert_area
p
.alert_text
{
margin-left
:
50px
;
display
:
inline-block
;
width
:
calc
(
45%
-
40px
);
}
.form_row_02
.right
.alert_area
p
.alert_text
+
p
.alert_text
{
margin-left
:
70px
;
}
.form_row_04
.right
.alert_area
p
.alert_text
+
p
.alert_text
{
margin-left
:
14px
;
}
.form_row_04
.right
.alert_area
p
.alert_text
:last-child
{
margin-left
:
106px
!important
;
}
.form_row
.left
label
[
for
=
"service_use"
]
{
margin-top
:
20px
;
margin-bottom
:
20px
;
}
.contact-bottom-buttons
{
margin-top
:
60px
;
display
:
-webkit-box
;
display
:
-webkit-flex
;
display
:
-ms-flexbox
;
display
:
flex
;
min-height
:
81px
;
}
.contact-bottom-buttons
.left
{
width
:
33.75%
;
padding-right
:
40px
;
}
.contact-bottom-buttons
.right
{
width
:
calc
(
100%
-
33.75%
);
}
.contact-bottom-buttons
button
[
type
=
"submit"
]
{
outline
:
none
;
-webkit-appearance
:
none
;
-moz-appearance
:
none
;
appearance
:
none
;
cursor
:
pointer
;
}
.contact-bottom-buttons
button
[
type
=
"submit"
]
{
display
:
block
;
position
:
relative
;
width
:
100%
;
}
@media
(
max-width
:
768px
)
{
.content-side
.content-side-section
{
margin-bottom
:
0
;
}
.form_row
,
.contact-bottom-buttons
{
display
:
block
;
}
.form_row
.left
,
.form_row
.right
,
.contact-bottom-buttons
.left
,
.contact-bottom-buttons
.right
{
width
:
100%
;
}
.form_row
.left
{
padding-left
:
0
;
margin-top
:
15px
;
}
.form_row
.left
br
{
display
:
none
;
}
.p-contact
a
.link-btn-arrow
{
margin
:
30px
0
0
;
}
.contact-bottom-buttons
.left
{
padding-right
:
0
;
}
.form_row.form_row_02
.right
label
,
.form_row.form_row_03
.right
label
{
width
:
100%
;
}
.form_row.form_row_02
.right
label
+
label
{
margin-left
:
0
;
}
.form_row
.left
label
[
for
=
"service_use"
]
{
margin-top
:
0
;
margin-bottom
:
0
;
}
.form_row.form_row_content
.right
label
:not
(
:first-child
)
{
margin-left
:
40px
;
}
#last_name
,
#first_name
,
#last_name_kana
,
#first_name_kana
{
margin-right
:
0
;
margin-left
:
0
;
width
:
100%
;
}
#media
+
label
{
width
:
100%
;
}
#tel_no_1
,
#tel_no_2
,
#tel_no_3
{
width
:
calc
(
33%
-
10px
);
}
#start_time
,
#end_time
{
width
:
calc
(
50%
-
20px
);
}
#end_time
+
p
{
width
:
120%
;
}
.form_select
{
margin-left
:
0
;
}
#use_year
,
#observation_year
{
width
:
100px
;
}
#use_month
,
#observation_month
,
#use_day
,
#observation_day
{
width
:
80px
;
}
#town
,
#building
{
margin-top
:
10px
;
width
:
100%
;
}
textarea
,
input
[
type
=
"text"
],
input
[
type
=
"url"
],
input
[
type
=
"email"
]
{
margin-top
:
8px
;
width
:
100%
;
}
#zip
,
#month
,
#day
,
#pref
{
width
:
320px
;
}
.form_select
{
margin-top
:
8px
;
}
.form_row
.right
.alert_text_pc
{
display
:
none
!important
;
}
.form_row
.right
.alert_text_sp
{
display
:
block
!important
;
}
.form_row
.right
.alert_area
{
margin-top
:
-10px
;
}
.form_row
.right
.alert_area
p
.alert_text
{
margin-top
:
0
;
display
:
block
;
width
:
100%
;
}
.form_row_02
.right
.alert_area
p
.alert_text
{
margin-left
:
0
;
display
:
block
;
width
:
100%
;
}
.form_row_02
.right
.alert_area
p
.alert_text
+
p
.alert_text
{
margin-left
:
0
;
}
.form_row_04
.right
.alert_area
p
.alert_text
+
p
.alert_text
{
margin-left
:
0
;
}
.form_row_04
.right
.alert_area
p
.alert_text
:last-child
{
margin-left
:
0
!important
;
}
}
/* ------------------------------------------
confirm
------------------------------------------ */
#p-confirm
.form_row
{
padding-top
:
15px
;
padding-bottom
:
15px
;
}
#p-confirm
p
+
.form_row
{
margin-top
:
60px
;
}
#p-confirm
.contact-bottom-buttons
{
border-top
:
1px
solid
#c4c2bf
;
}
#p-confirm
.contact-bottom-buttons
button
[
type
=
"submit"
]
{
margin-top
:
60px
;
}
@media
(
max-width
:
768px
)
{
#p-confirm
.contact-bottom-buttons
.left
button
[
type
=
"submit"
]
{
margin-bottom
:
0px
;
}
#p-confirm
.contact-bottom-buttons
.right
button
[
type
=
"submit"
]
{
margin-top
:
30px
;
}
}
/* ------------------------------------------
thanks
------------------------------------------ */
#p-thanks
.content-section-box
h3
{
font-size
:
1.7rem
;
margin-bottom
:
26px
;
}
#p-thanks
.content-section-box
h4
{
font-weight
:
800
;
margin-top
:
46px
;
margin-bottom
:
16px
;
}
#p-thanks
.content-section-box
p
+
p
{
margin-top
:
26px
;
}
#p-thanks
.contact-bottom-buttons
a
{
margin-top
:
50px
;
}
...
...
achievement-official.conohawing.com/contact/form/index.php
0 → 100644
View file @
0ef72ae6
<?php
$pageid
=
"contact"
;
?>
<?php
include
(
$_SERVER
[
'DOCUMENT_ROOT'
]
.
'/assets/include/header.php'
);
?>
<div
class=
"p-other"
>
<div
class=
"c-breadcrumb pc-only"
>
<ul
class=
"c-breadcrumb__inner"
>
<li
class=
"c-breadcrumb__item"
><a
href=
"/"
><span>
TOP
</span></a></li>
<li
class=
"c-breadcrumb__item"
><span>
お問い合わせ
</span></li>
</ul>
</div>
<section
class=
"c-mainvisual p-other-mv"
>
<div
class=
"c-mainvisual__inner"
>
<h2
class=
"c-mainvisual__ttl"
>
お問い合わせ
</h2>
</div>
</section>
<div
class=
"container"
>
<main
class=
"p-contact-content"
>
<section
class=
"otherSingle2"
>
<form
method=
"post"
action=
""
>
<div
class=
"form_row form_row_content"
>
<div
class=
"left"
><label
for=
"form_content"
>
ご相談内容
</label><span
class=
"required error"
>
必須
</span></div>
<div
class=
"right"
>
<label><input
type=
"radio"
name=
"form_content"
value=
"male"
id=
"form_content_01"
required
><span
class=
"label_text"
>
サービス
</span></label>
<label><input
type=
"radio"
name=
"form_content"
value=
"female"
id=
"form_content_02"
required
><span
class=
"label_text"
>
採用
</span></label>
<label><input
type=
"radio"
name=
"form_content"
value=
"male"
id=
"form_content_03"
required
><span
class=
"label_text"
>
個別相談
</span></label>
<label><input
type=
"radio"
name=
"form_content"
value=
"female"
id=
"form_content_04"
required
><span
class=
"label_text"
>
その他
</span></label>
<p
class=
"alert_text"
>
お問い合わせ項目を選んでください。
</p>
</div>
</div>
<div
class=
"form_row form_row_02"
>
<div
class=
"left"
><label
for=
"last_name"
>
お名前
</label><span
class=
"required error"
>
必須
</span></div>
<div
class=
"right"
>
<label><span
class=
"label_text"
>
性
</span><input
type=
"text"
name=
"last_name"
placeholder=
""
id=
"last_name"
maxlength=
"20"
value=
""
required=
"required"
></label>
<p
class=
"alert_text alert_text_sp"
>
姓が入力されていません。
</p>
<label><span
class=
"label_text"
>
名
</span><input
type=
"text"
name=
"first_name"
placeholder=
""
id=
"first_name"
maxlength=
"20"
value=
""
required=
"required"
></label>
<div
class=
"alert_area"
><p
class=
"alert_text alert_text_pc"
>
姓が入力されていません。
</p>
<p
class=
"alert_text"
>
名が入力されていません。
</p></div>
</div>
</div>
<div
class=
"form_row form_row_02"
>
<div
class=
"left"
><label
for=
"last_name_kana"
>
お名前(かな)
</label><span
class=
"required error"
>
必須
</span></div>
<div
class=
"right"
>
<label><span
class=
"label_text"
>
セイ
</span><input
type=
"text"
name=
"last_name_kana"
placeholder=
""
id=
"last_name_kana"
maxlength=
"20"
value=
""
></label>
<p
class=
"alert_text alert_text_sp"
>
セイが入力されていません。
</p>
<label><span
class=
"label_text"
>
メイ
</span><input
type=
"text"
name=
"first_name_kana"
placeholder=
""
id=
"first_name_kana"
maxlength=
"20"
value=
""
required=
"required"
></label>
<div
class=
"alert_area"
><p
class=
"alert_text alert_text_pc"
>
セイが入力されていません。
</p>
<p
class=
"alert_text"
>
メイが入力されていません。
</p></div>
</div>
</div>
<div
class=
"form_row"
>
<div
class=
"left"
><label
for=
"gender"
>
性別
</label><span
class=
"required error"
>
必須
</span></div>
<div
class=
"right"
>
<label><input
type=
"radio"
name=
"gender"
value=
"male"
id=
"gender_male"
required
><span
class=
"label_text"
>
男
</span></label>
<label><input
type=
"radio"
name=
"gender"
value=
"female"
id=
"gender_female"
required
><span
class=
"label_text"
>
女
</span></label>
</div>
</div>
<div
class=
"form_row form_row_04"
>
<div
class=
"left"
><label
for=
"gender"
>
生年月日
</label><span
class=
"required error"
>
必須
</span></div>
<div
class=
"right"
>
<label
for=
"year"
><input
type=
"text"
name=
"year"
id=
"year"
required
><span
class=
"label_text"
>
年
</span></label>
<p
class=
"alert_text alert_text_sp"
>
年が入力されていません。
</p>
<label
for=
"month"
class=
"form_select"
><select
name=
"month"
id=
"month"
required
>
<option
value=
""
>
【選択してください】
</option>
<option
value=
"1"
>
1
</option>
<option
value=
"2"
>
2
</option>
<option
value=
"3"
>
3
</option>
<option
value=
"4"
>
4
</option>
<option
value=
"5"
>
5
</option>
<option
value=
"6"
>
6
</option>
<option
value=
"7"
>
7
</option>
<option
value=
"8"
>
8
</option>
<option
value=
"9"
>
9
</option>
<option
value=
"10"
>
10
</option>
<option
value=
"11"
>
11
</option>
<option
value=
"12"
>
12
</option>
</select></label><span
class=
"label_text"
>
月
</span>
<p
class=
"alert_text alert_text_sp"
>
月が選択されていません。
</p>
<label
for=
"day"
class=
"form_select"
><select
name=
"day"
id=
"day"
required
>
<option
value=
""
selected=
"selected"
>
【選択してください】
</option>
<option
value=
"1"
>
1
</option>
<option
value=
"2"
>
2
</option>
<option
value=
"3"
>
3
</option>
<option
value=
"4"
>
4
</option>
<option
value=
"5"
>
5
</option>
<option
value=
"6"
>
6
</option>
<option
value=
"7"
>
7
</option>
<option
value=
"8"
>
8
</option>
<option
value=
"9"
>
9
</option>
<option
value=
"10"
>
10
</option>
<option
value=
"11"
>
11
</option>
<option
value=
"12"
>
12
</option>
<option
value=
"13"
>
13
</option>
<option
value=
"14"
>
14
</option>
<option
value=
"15"
>
15
</option>
<option
value=
"16"
>
16
</option>
<option
value=
"17"
>
17
</option>
<option
value=
"18"
>
18
</option>
<option
value=
"19"
>
19
</option>
<option
value=
"20"
>
20
</option>
<option
value=
"21"
>
21
</option>
<option
value=
"22"
>
22
</option>
<option
value=
"23"
>
23
</option>
<option
value=
"24"
>
24
</option>
<option
value=
"25"
>
25
</option>
<option
value=
"26"
>
26
</option>
<option
value=
"27"
>
27
</option>
<option
value=
"28"
>
28
</option>
<option
value=
"29"
>
29
</option>
<option
value=
"30"
>
30
</option>
<option
value=
"31"
>
31
</option>
</select></label><span
class=
"label_text"
>
日
</span>
<div
class=
"alert_area"
><p
class=
"alert_text alert_text_pc"
>
年が入力されていません。
</p>
<p
class=
"alert_text alert_text_pc"
>
月が選択されていません。
</p>
<p
class=
"alert_text"
>
日が選択されていません。
</p></div>
</div>
</div>
<div
class=
"form_row"
>
<div
class=
"left"
><label
for=
"zip"
>
郵便番号
</label><span
class=
"required error"
>
必須
</span></div>
<div
class=
"right"
>
<input
type=
"text"
name=
"zip"
id=
"zip"
pattern=
"\d{3}[\-\s]?\d{4}"
x-autocompletetype=
"postal-code"
required
>
<div
class=
"alert_area"
><p
class=
"sup_text"
>
※郵便番号7桁をハイフン(-)なしでご入力ください
</p>
<p
class=
"alert_text"
>
郵便番号が入力されていません。
</p></div>
</div>
</div>
<div
class=
"form_row"
>
<div
class=
"left"
><label
for=
"pref"
>
住所
</label><span
class=
"required error"
>
必須
</span></div>
<div
class=
"right"
>
<div
class=
"form-group"
>
<label
class=
"form_select"
><select
name=
"pref"
id=
"pref"
x-autocompletetype=
"region"
required
>
<option
value=
""
selected=
"selected"
>
-- 都道府県 --
</option>
<optgroup
label=
"北海道"
>
<option
value=
"1"
>
北海道
</option>
</optgroup>
<optgroup
label=
"東北"
>
<option
value=
"2"
>
青森県
</option>
<option
value=
"3"
>
岩手県
</option>
<option
value=
"4"
>
宮城県
</option>
<option
value=
"5"
>
秋田県
</option>
<option
value=
"6"
>
山形県
</option>
<option
value=
"7"
>
福島県
</option>
</optgroup>
<optgroup
label=
"関東"
>
<option
value=
"8"
>
茨城県
</option>
<option
value=
"9"
>
栃木県
</option>
<option
value=
"10"
>
群馬県
</option>
<option
value=
"11"
>
埼玉県
</option>
<option
value=
"12"
>
千葉県
</option>
<option
value=
"13"
>
東京都
</option>
<option
value=
"14"
>
神奈川県
</option>
</optgroup>
<optgroup
label=
"北陸"
>
<option
value=
"15"
>
新潟県
</option>
<option
value=
"16"
>
富山県
</option>
<option
value=
"17"
>
石川県
</option>
<option
value=
"18"
>
福井県
</option>
</optgroup>
<optgroup
label=
"中部"
>
<option
value=
"19"
>
山梨県
</option>
<option
value=
"20"
>
長野県
</option>
<option
value=
"21"
>
岐阜県
</option>
<option
value=
"22"
>
静岡県
</option>
<option
value=
"23"
>
愛知県
</option>
</optgroup>
<optgroup
label=
"近畿"
>
<option
value=
"24"
>
三重県
</option>
<option
value=
"25"
>
滋賀県
</option>
<option
value=
"26"
>
京都府
</option>
<option
value=
"27"
>
大阪府
</option>
<option
value=
"28"
>
兵庫県
</option>
<option
value=
"29"
>
奈良県
</option>
<option
value=
"30"
>
和歌山県
</option>
</optgroup>
<optgroup
label=
"中国"
>
<option
value=
"31"
>
鳥取県
</option>
<option
value=
"32"
>
島根県
</option>
<option
value=
"33"
>
岡山県
</option>
<option
value=
"34"
>
広島県
</option>
<option
value=
"35"
>
山口県
</option>
</optgroup>
<optgroup
label=
"四国"
>
<option
value=
"36"
>
徳島県
</option>
<option
value=
"37"
>
香川県
</option>
<option
value=
"38"
>
愛媛県
</option>
<option
value=
"39"
>
高知県
</option>
</optgroup>
<optgroup
label=
"九州/沖縄"
>
<option
value=
"40"
>
福岡県
</option>
<option
value=
"41"
>
佐賀県
</option>
<option
value=
"42"
>
長崎県
</option>
<option
value=
"43"
>
熊本県
</option>
<option
value=
"44"
>
大分県
</option>
<option
value=
"45"
>
宮崎県
</option>
<option
value=
"46"
>
鹿児島県
</option>
<option
value=
"47"
>
沖縄県
</option>
</optgroup>
</select></label>
<p
class=
"alert_text"
>
都道府県が入力されていません。
</p>
</div>
<div
class=
"form-group-02"
><div
class=
"form-group"
>
<label
for=
"town"
>
市区町村/番地
</label>
<input
type=
"text"
name=
"town"
id=
"town"
x-autocompletetype=
"street-address"
required
>
<p
class=
"alert_text"
>
市区町村が入力されていません。
</p>
</div>
<div
class=
"form-group"
>
<label
for=
"building"
>
マンション名
</label>
<input
type=
"text"
name=
"building"
id=
"building"
>
<p
class=
"alert_text"
>
丁目番地・マンション名が入力されていません。
</p>
</div></div>
</div>
</div>
<div
class=
"form_row"
>
<div
class=
"left"
><label
for=
"tel_no"
>
電話番号
</label><span
class=
"required error"
>
必須
</span></div>
<div
class=
"right"
>
<input
type=
"text"
name=
"tel_no"
placeholder=
""
id=
"tel_no"
value=
""
maxlength=
"12"
required=
"required"
>
<p
class=
"alert_text"
>
電話番号が入力されていません。
</p>
</div>
</div>
<div
class=
"form_row"
>
<div
class=
"left"
><label
for=
"fax_no"
>
FAX番号
</label></div>
<div
class=
"right"
>
<input
type=
"text"
name=
"fax_no"
placeholder=
""
id=
"fax_no"
value=
""
maxlength=
"12"
>
</div>
</div>
<div
class=
"form_row"
>
<div
class=
"left"
><label
for=
"regist_email"
>
メールアドレス
</label><span
class=
"required error"
>
必須
</span></div>
<div
class=
"right"
>
<input
type=
"email"
name=
"mail_address"
placeholder=
""
id=
"regist_email"
value=
""
maxlength=
"256"
required=
"required"
>
<p
class=
"alert_text"
>
メールアドレスが入力されていません。
</p>
</div>
</div>
<div
class=
"form_row"
>
<div
class=
"left"
><label
for=
"confirm_email"
>
メールアドレス(再入力)
</label><span
class=
"required error"
>
必須
</span></div>
<div
class=
"right"
>
<input
type=
"email"
name=
"confirm_email"
placeholder=
""
id=
"confirm_email"
value=
""
maxlength=
"256"
required=
"required"
>
<p
class=
"alert_text"
>
確認用メールアドレスが一致しません。
</p>
</div>
</div>
<div
class=
"form_row"
>
<div
class=
"left"
><label
for=
"office_name"
>
会社名
</label></div>
<div
class=
"right"
>
<input
type=
"text"
name=
"office_name"
placeholder=
""
id=
"office_name"
value=
""
maxlength=
"80"
>
</div>
</div>
<div
class=
"form_row"
>
<div
class=
"left"
><label
for=
"department_name"
>
部署名
</label></div>
<div
class=
"right"
>
<input
type=
"text"
name=
"department_name"
placeholder=
""
id=
"department_name"
value=
""
maxlength=
"80"
>
</div>
</div>
<div
class=
"form_row"
>
<div
class=
"left"
><label
for=
"position"
>
役職
</label></div>
<div
class=
"right"
>
<input
type=
"text"
name=
"position"
placeholder=
""
id=
"position"
value=
""
maxlength=
"80"
>
</div>
</div>
<div
class=
"form_row"
>
<div
class=
"left"
><label
for=
"club_members"
>
クラブ会員登録
</label><span
class=
"required error"
>
必須
</span></div>
<div
class=
"right"
>
<label><input
id=
"club_members1"
name=
"club_members"
type=
"radio"
value=
"1"
checked=
"checked"
><span
class=
"label_text"
>
有
</span></label>
<label><input
id=
"club_members2"
name=
"club_members"
type=
"radio"
value=
"2"
><span
class=
"label_text"
>
無
</span></label>
</div>
</div>
<div
class=
"form_row"
>
<div
class=
"left"
><label
for=
"members_number"
>
会員番号
</label></div>
<div
class=
"right"
>
<input
type=
"text"
name=
"members_number"
data-charcheck=
"digit"
placeholder=
""
id=
"members_number"
value=
""
maxlength=
"20"
>
</div>
</div>
<div
class=
"form_row form_row_03"
>
<div
class=
"left"
>
お問合せのきっかけ
</div>
<div
class=
"right"
>
<div
class=
"form_checkbox"
>
<label><input
id=
"inquiry_content1"
name=
"inquiry_content[]"
type=
"checkbox"
value=
"1"
><span
class=
"label_text"
>
検索エンジン(Yahoo!,Google等)
</span></label>
<label><input
id=
"inquiry_content2"
name=
"inquiry_content[]"
type=
"checkbox"
value=
"2"
><span
class=
"label_text"
>
Webサイトより
</span></label>
<label><input
id=
"inquiry_content3"
name=
"inquiry_content[]"
type=
"checkbox"
value=
"3"
><span
class=
"label_text"
>
DM
</span></label>
<label><input
id=
"inquiry_content4"
name=
"inquiry_content[]"
type=
"checkbox"
value=
"4"
><span
class=
"label_text"
>
弊社関連書籍
</span></label>
<label><input
id=
"inquiry_content5"
name=
"inquiry_content[]"
type=
"checkbox"
value=
"5"
><span
class=
"label_text"
>
メールマガジン
</span></label>
<label><input
id=
"inquiry_content6"
name=
"inquiry_content[]"
type=
"checkbox"
value=
"6"
><span
class=
"label_text"
>
青木仁志オフィシャルサイト
</span></label>
<label><input
id=
"inquiry_content7"
name=
"inquiry_content[]"
type=
"checkbox"
value=
"7"
><span
class=
"label_text"
>
ClubNews
</span></label>
<label><input
id=
"inquiry_content8"
name=
"inquiry_content[]"
type=
"checkbox"
value=
"8"
><span
class=
"label_text"
>
知人からの紹介
</span></label>
<label><input
id=
"inquiry_content9"
name=
"inquiry_content[]"
type=
"checkbox"
value=
"9"
><span
class=
"label_text"
>
弊社コンサルタントからの紹介
</span></label>
<label><input
id=
"inquiry_content10"
name=
"inquiry_content[]"
type=
"checkbox"
value=
"10"
><span
class=
"label_text"
>
その他
</span></label>
</div>
</div>
</div>
<div
class=
"form_row"
>
<div
class=
"left"
><label
for=
"service_use"
>
アチーブメント株式会社
<br>
サービス利用の有無
</label></div>
<div
class=
"right"
>
<label><input
id=
"service_use1"
name=
"service_use"
type=
"radio"
value=
"1"
checked=
"checked"
><span
class=
"label_text"
>
有
</span></label>
<label><input
id=
"service_use2"
name=
"service_use"
type=
"radio"
value=
"2"
><span
class=
"label_text"
>
無
</span></label>
</div>
</div>
<div
class=
"form_row"
>
<div
class=
"left"
>
お問合わせ内容
<span
class=
"required error"
>
必須
</span></div>
<div
class=
"right"
>
<textarea
name=
"purpose"
rows=
"4"
cols=
"40"
required=
"required"
></textarea>
<p
class=
"alert_text"
>
お問い合わせ内容が入力されていません。
</p>
</div>
</div>
<div
class=
"form_row"
>
<div
class=
"left"
>
個人情報保護方針
<span
class=
"required error"
>
必須
</span></div>
<div
class=
"right"
>
<p>
当社の「
<a
href=
"#"
target=
"_blank"
>
個人情報保護方針及び個人情報の取り扱い指針
</a>
」に承諾頂いた上で送信をお願い致します。
</p>
<div
class=
"form_checkbox"
>
<label><input
id=
"info_agreement"
required=
"required"
name=
"info_agreement"
type=
"checkbox"
value=
"1"
><span
class=
"label_text"
>
個人情報保護方針に同意します。
</span></label>
<p
class=
"alert_text"
>
個人情報保護方針をご確認のうえ、同意してください。
</p>
</div>
</div>
</div>
<div
class=
"contact-bottom-buttons"
>
<div
class=
"left c-btn1"
><a
href=
"https://www.moyore-niigata.jp/contact"
class=
"c-btn1__txt"
>
リセットする
</a></div>
<div
class=
"right c-btn1 c-btn-faq"
><button
type=
"submit"
class=
"c-btn1__txt"
>
送信する
</button></div>
</div>
</form>
</section>
</main>
</div>
</div>
<?php
include
(
$_SERVER
[
'DOCUMENT_ROOT'
]
.
'/assets/include/footer.php'
);
?>
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