お問い合わせ項目【必須】 |
- _form->html('contact_type', '', 'product_contact'); ?>
- _form->html('product_contact_sub', '', 'clean_device'); ?>
- _form->html('product_contact_sub', '', 'industrial_mask'); ?>
- _form->html('product_contact_sub', '', 'medical_mask'); ?>
- _form->html('product_contact_sub', '', 'general_mack'); ?>
- _form->html('product_contact_sub', '', 'disaster_recovery_machine'); ?>
- _form->html('product_contact_sub', '', 'washing_device'); ?>
- _form->html('product_contact_sub', '', 'etc'); ?>
- _form->html('contact_type', '', 'ir_contact'); ?>
- _form->html('contact_type', '', 'etc_contact'); ?>
|
お名前【必須】 |
_form->html('name', array('size' => "80", 'maxlength' => "100", 'class' => "required")); ?>
_form->errormsg('name')): ?>
_form->errormsg('name')?>
|
フリガナ【必須】 |
_form->html('kana', array('size' => "80", 'maxlength' => "100", 'class' => "required katakana")); ?>
_form->errormsg('kana')): ?>
_form->errormsg('kana')?>
|
法人or個人【必須】 |
- _form->html('corp_parson', '', 'corp'); ?>
- _form->html('corp_parson', '', 'parson'); ?>
|
種別【必須】 |
- _form->html('business_type', '', 'factory'); ?>
- _form->html('business_type', '', 'medical'); ?>
- _form->html('business_type', '', 'business_type_etc'); ?>
|
法人名・団体名【必須】 |
_form->html('corp_name', array('size' => "80", 'maxlength' => "100", 'class' => "required")); ?>
_form->errormsg('corp_name')): ?>
_form->errormsg('corp_name')?>
|
事業内容 |
- _form->html('business_detail', '', 'factory'); ?>
- _form->html('business_detail', '', 'medical'); ?>
- _form->html('business_detail', '', 'government_office'); ?>
- _form->html('business_detail', '', 'vendor'); ?>
- _form->html('business_detail', '', 'business_type_parson'); ?>
- _form->html('business_detail', '', 'business_type_etc'); ?>
|
部署名 |
_form->html('department', array('size' => "80", 'maxlength' => "100")); ?> |
役職 |
_form->html('post', array('size' => "80", 'maxlength' => "100")); ?> |
メールアドレス【必須】 |
_form->html('mailaddress', array('size' => "80", 'maxlength' => "500", 'class' => "required email")); ?>
_form->errormsg('mailaddress')): ?>
_form->errormsg('mailaddress')?>
|
電話番号【必須】 |
_form->html('tel', array('size' => "80", 'maxlength' => "100", 'class' => "required telnum")); ?>
_form->errormsg('tel')): ?>
_form->errormsg('tel')?>
|
FAX番号 |
_form->html('fax', array('size' => "80", 'maxlength' => "100", 'class' => "telnum")); ?>
_form->errormsg('fax')): ?>
_form->errormsg('fax')?>
|
郵便番号【必須】 |
〒_form->html('zip1', array('class' => "required"));?> - _form->html('zip2', array('class' => "required"));?>
郵便番号を入力すると自動的にご住所の一部が表示されます
|
住所【必須】 |
_form->errormsg('zip1')): ?>
_form->errormsg('zip1')?>
_form->errormsg('zip2')): ?>
_form->errormsg('zip2')?>
_form->html('pref_name', array('class' => "required"));?>
_form->html('address', array('size' => "80", 'maxlength' => "500")); ?>
|
お問い合わせ内容【必須】 |
内容詳細
_form->html('detail', array('cols' => "80", 'rows' => "4", 'maxlength' => "1000", 'class' => "required")); ?>
_form->errormsg('detail')): ?>
_form->errormsg('detail')?>
|
_form->html('send_ticket', array('id' => 'button')); ?>
_form->html('histback', array('id' => 'button')); ?>
_form->html('CONFIRM', array('id' => 'submitBtn')); ?>
_form->html('SEND', array('id' => 'submitBtn')); ?>