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<title>お問い合せ</title>
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<area shape="rect" coords="103,23,178,41" href="monthly/board.cgi">
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          <br><center><font size=2> お問い合わせは、下記の項目に入力の上、送信して下さい。</font><br> 
            <font size="1" color="#ff0000">（ご記入されたデータは、当方にて 厳重に管理いたしますのでご安心下さい。）</font> 
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          <td nowrap height="30">お名前</td>
          <td> ：</td>
          <td colspan=2><input name="_name" type="text" size="25"></td>
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          <td height="31">ご住所</td>
          <td>：</td>
           <td colspan=2><input name="住所1" type="text" size="60" maxlength="60"> 
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          <td nowrap height="35">電話番号</td>
          <td> ：</td>
          <td> <input type="text" name="電話1" size="5" maxlength="5" value="0">-<input type="text" name="電話2" size="4" maxlength="4">-<input type="text" name="電話3" size="4" maxlength="4">
          携帯番号 ：<input type="text" name="携帯1" size="3" maxlength="3" value="090">-<input type="text" name="携帯2" size="4" maxlength="4">-<input type="text" name="携帯3" size="4" maxlength="4"></td>
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          <td nowrap height="30">電子メール</td>
          <td> ：</td>
          <td><input name="_email" type="text" size="30"><input type=radio name="Cc" size="1" value="OK" checked><font size="1">半角英数字で入力下さい</font></td>
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          <td nowrap height="30">〃 再入力</td>
          <td> ：</td>
          <td><input type=text name="email2" size="30"> <font size="1">（確認の為、もう一度）</font>
          <input type=hidden name="match" value="email email2">
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            お問い合わせ事項を下記にご記入下さい。<br>
            <textarea name="内容1" rows="8" cols="65"></textarea></td>
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<input type=reset value="Ｘ　リセット"> <input type=submit value="○　確認する　">
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