お申込み | イベントのご案内

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鉄骨1・2階建て</button ><button class="b-a-searchButton_suggest" type="submit" > 鉄骨3・4階建て</button ><button class="b-a-searchButton_suggest" type="submit" > イズ・ステージ</button ><button class="b-a-searchButton_suggest" type="submit" > イズ・ロイエ</button ><button class="b-a-searchButton_suggest" type="submit" > シーカス </button> </div> </div> </form> </div> <div class="b-is-pc"> <p class="b-a-textLink b-a-textLink_contact"> <a class="b-a-textLink_anchor b-a-textLink_contact_anchor" href="https://www.sekisuihouse.co.jp/mail/form.html" target="_blank" rel="noopener" >お問い合わせ</a > </p> </div> </nav> </div> <button class="b-a-burgerButton b-js-burgerButton b-is-opened" > <span class="b-a-burgerButton_closed"></span ><span class="b-a-burgerButton_opened"></span> </button> </div> <div class="b-o-burgerNavi_main b-js-burgerMain" data-b-page="liaison" > <div class="b-o-burgerNavi_main-top"> <a class="b-a-burgerInnerButton b-a-burgerInnerButton_top b-js-burgerInner-button-top" data-b-trigger="liaison-info" >お近くの積水ハウス</a ><a class="b-a-burgerInnerButton b-a-burgerInnerButton_top b-js-burgerInner-button-top" data-b-trigger="sumai-info" >住まいの地域情報</a ><a class="b-a-burgerInnerButton b-a-burgerInnerButton_top b-js-burgerInner-button-top" data-b-trigger="shm-keiei-info" >賃貸住宅経営の地域情報</a ><a class="b-a-burgerInnerButton b-a-burgerInnerButton_top b-js-burgerInner-button-top" data-b-trigger="owner-info" >積水ハウスのオーナー様向け情報</a ><a class="b-a-burgerInnerButton b-a-burgerInnerButton_top b-js-burgerInner-button-top" href="https://mypage.sekisuihouse.co.jp/" target="_blank" rel="noopener" >My STAGE</a > </div> <div class="b-o-burgerNavi_main-under b-js-burgerInner-under b-is-pc" > <div class="b-o-burgerNavi_main-under-1" data-b-category="liaison-info" > <a class="b-a-burgerInnerButton b-a-burgerInnerButton_anchor b-js-burgerInner-button-anchor" href="/liaison/" data-b-category="liaison_top" >お近くの積水ハウストップ</a > </div> <div class="b-o-burgerNavi_main-under-1" data-b-category="sumai-info" > <a class="b-a-burgerInnerButton b-a-burgerInnerButton_anchor b-js-burgerInner-button-anchor" href="/event/" data-b-category="event" >イベント情報</a ><a class="b-a-burgerInnerButton b-a-burgerInnerButton_anchor b-js-burgerInner-button-anchor" href="https://www.sekisuihouse.co.jp/liaison/modelhouse.html" data-b-category="modelhouse" >住宅展示場・ショールーム情報</a ><a class="b-a-burgerInnerButton b-a-burgerInnerButton_anchor b-js-burgerInner-button-anchor" href="/bunjou/" data-b-category="bunjou" target="_blank" rel="noopener" >分譲住宅・土地</a ><a class="b-a-burgerInnerButton b-a-burgerInnerButton_anchor b-js-burgerInner-button-anchor" href="https://www.sekisuihouse.co.jp/liaison/office_kodate.html" data-b-category="office_kodate" >支店・事業所情報</a ><a class="b-a-burgerInnerButton b-a-burgerInnerButton_anchor b-js-burgerInner-button-anchor" href="/kodate/" data-b-category="kodate" target="_blank" rel="noopener" >戸建住宅</a ><a class="b-a-burgerInnerButton b-a-burgerInnerButton_anchor b-js-burgerInner-button-anchor" href="/kodate/works/" data-b-category="works" target="_blank" rel="noopener" >戸建建築実例</a ><a class="b-a-burgerInnerButton b-a-burgerInnerButton_anchor b-js-burgerInner-button-anchor" href="https://www.sekisuihouse.com/nattoku/koubou/" data-b-category="koubou" target="_blank" rel="noopener" >納得工房</a ><a class="b-a-burgerInnerButton b-a-burgerInnerButton_anchor b-js-burgerInner-button-anchor" href="/tlm/" data-b-category="yumekojo" target="_blank" rel="noopener" >Tommorow’s Life Museum</a ><a class="b-a-burgerInnerButton b-a-burgerInnerButton_anchor b-js-burgerInner-button-anchor" href="/gm/" data-b-category="gm" target="_blank" rel="noopener" >分譲マンション</a > </div> <div class="b-o-burgerNavi_main-under-1" data-b-category="shm-keiei-info" > <a class="b-a-burgerInnerButton b-a-burgerInnerButton_anchor b-js-burgerInner-button-anchor" href="/event/shm-keiei/" data-b-category="event-shm-keiei" >イベント情報</a ><a class="b-a-burgerInnerButton b-a-burgerInnerButton_anchor b-js-burgerInner-button-anchor" href="https://www.sekisuihouse.co.jp/liaison/office_chintai.html" data-b-category="office_chintai" >支店・事業所情報</a ><a class="b-a-burgerInnerButton b-a-burgerInnerButton_anchor b-js-burgerInner-button-anchor" href="/shm-keiei/" data-b-category="shm-keiei" target="_blank" rel="noopener" >賃貸住宅経営（シャーメゾン）</a ><a class="b-a-burgerInnerButton b-a-burgerInnerButton_anchor b-js-burgerInner-button-anchor" href="/land_usage/" data-b-category="land_usage" target="_blank" rel="noopener" >土地活用</a > </div> <div class="b-o-burgerNavi_main-under-1" data-b-category="owner-info" > <a class="b-a-burgerInnerButton b-a-burgerInnerButton_anchor b-js-burgerInner-button-anchor" href="/liaison/office_cr/" data-b-category="office_cr" >カスタマーズセンター</a ><a class="b-a-burgerInnerButton b-a-burgerInnerButton_anchor b-js-burgerInner-button-anchor" href="https://www.sekisuihousereform.co.jp/" data-b-category="sekisuihousereform" target="_blank" rel="noopener" >リフォーム</a ><a class="b-a-burgerInnerButton b-a-burgerInnerButton_anchor b-js-burgerInner-button-anchor" href="https://noc.sekisuihouse.co.jp/ownersclub2/owner.do" data-b-category="ownersclub2" target="_blank" rel="noopener" >Netオーナーズクラブ</a > </div> </div> <div class="b-o-burgerNavi_main-under b-js-burgerInner-under b-is-sp" > <div class="b-o-burgerNavi_main-under-1" data-b-category="liaison-info" > <a class="b-a-burgerInnerButton b-a-burgerInnerButton_anchor b-js-burgerInner-button-anchor" href="/liaison/" >お近くの積水ハウストップ</a > </div> <div class="b-o-burgerNavi_main-under-1" data-b-category="sumai-info" > <a class="b-a-burgerInnerButton b-a-burgerInnerButton_anchor b-js-burgerInner-button-anchor" href="/event/" >イベント情報</a ><a class="b-a-burgerInnerButton b-a-burgerInnerButton_anchor b-js-burgerInner-button-anchor" href="https://www.sekisuihouse.co.jp/liaison/modelhouse.html" >住宅展示場・ショールーム情報</a ><a class="b-a-burgerInnerButton b-a-burgerInnerButton_anchor b-js-burgerInner-button-anchor" href="/bunjou/" target="_blank" rel="noopener" >分譲住宅・土地</a ><a class="b-a-burgerInnerButton b-a-burgerInnerButton_anchor b-js-burgerInner-button-anchor" href="https://www.sekisuihouse.co.jp/liaison/office_kodate.html" >支店・事業所情報</a ><a class="b-a-burgerInnerButton b-a-burgerInnerButton_anchor b-js-burgerInner-button-anchor" href="/kodate/" target="_blank" rel="noopener" >戸建住宅</a ><a class="b-a-burgerInnerButton b-a-burgerInnerButton_anchor b-js-burgerInner-button-anchor" href="/kodate/works/" target="_blank" rel="noopener" >戸建建築実例</a ><a class="b-a-burgerInnerButton b-a-burgerInnerButton_anchor b-js-burgerInner-button-anchor" href="https://www.sekisuihouse.com/nattoku/koubou/" target="_blank" rel="noopener" >納得工房</a ><a class="b-a-burgerInnerButton b-a-burgerInnerButton_anchor b-js-burgerInner-button-anchor" href="/tlm/" target="_blank" rel="noopener" >Tommorow’s Life Museum</a ><a class="b-a-burgerInnerButton b-a-burgerInnerButton_anchor b-js-burgerInner-button-anchor" href="/gm/" target="_blank" rel="noopener" >分譲マンション</a > </div> <div class="b-o-burgerNavi_main-under-1" data-b-category="shm-keiei-info" > <a class="b-a-burgerInnerButton b-a-burgerInnerButton_anchor b-js-burgerInner-button-anchor" href="/event/shm-keiei/" >イベント情報</a ><a class="b-a-burgerInnerButton b-a-burgerInnerButton_anchor b-js-burgerInner-button-anchor" href="https://www.sekisuihouse.co.jp/liaison/office_chintai.html" >支店・事業所情報</a ><a class="b-a-burgerInnerButton b-a-burgerInnerButton_anchor b-js-burgerInner-button-anchor" href="/shm-keiei/" target="_blank" rel="noopener" >賃貸住宅経営（シャーメゾン）</a ><a class="b-a-burgerInnerButton b-a-burgerInnerButton_anchor b-js-burgerInner-button-anchor" href="/land_usage/" target="_blank" rel="noopener" >土地活用</a > </div> <div class="b-o-burgerNavi_main-under-1" data-b-category="owner-info" > <a class="b-a-burgerInnerButton b-a-burgerInnerButton_anchor b-js-burgerInner-button-anchor" href="/liaison/office_cr/" >カスタマーズセンター</a ><a class="b-a-burgerInnerButton b-a-burgerInnerButton_anchor b-js-burgerInner-button-anchor" href="https://www.sekisuihousereform.co.jp/" target="_blank" rel="noopener" >リフォーム</a ><a class="b-a-burgerInnerButton b-a-burgerInnerButton_anchor b-js-burgerInner-button-anchor" href="https://noc.sekisuihouse.co.jp/ownersclub2/owner.do" target="_blank" rel="noopener" >Netオーナーズクラブ</a > </div> </div> </div> </div> <div class="b-o-burgerNavi_footer b-is-sp"> <div class="b-o-burgerNavi_footer-wrap"> <p class="b-a-textLink b-a-textLink_contact"> <a class="b-a-textLink_anchor b-a-textLink_contact_anchor" href="https://www.sekisuihouse.co.jp/mail/form.html" >お問い合わせ</a > </p> <p class="b-a-textLink b-a-textLink_english"> <a class="b-a-textLink_anchor b-a-textLink_english_anchor" href="/english/" >ENGLISH</a > </p> </div> </div> </div> </nav> </div> </div> </div> </div> </div> </div> </div>  <div id="areaWrapper1" class="pbAreaWrapper1"> <div id="areaWrapper2" class="pbAreaWrapper2"> <div id="mainArea" class="pbMainArea"> <div id="area0" class="pbArea "> <div class="pbNested "> <div class="pbNested pbNestedWrapper " id="pbBlock8633"> <div class="b-o-main_content b-is-wide"> <div class="b-o-form b-page-request-efp-form"> <div class="b-a-wrapper b-js-wrapper"> <h1 class="b-a-heading b-a-heading_h1 b-a-heading_pageTitle">戸建「入居者宅見学」お申込み</h1> <div class="b-m-contactFlow" data-b-row-num="3"> <div class="b-m-contactFlow_item b-m-contactFlow_item-isCurrent"> 1. 入力 </div> <div class="b-m-contactFlow_item"> 2. 確認 </div> <div class="b-m-contactFlow_item"> 3. 完了 </div> </div> <div class="b-page-liaison-form-eventView"> <h2 class="b-page-liaison-form-eventView_heading-title">イベント概要</h2> <div class="b-page-liaison-form-eventView_content"> <div class="b-page-liaison-form-eventView_item"> <h3 class="b-page-liaison-form-eventView_item-title">イベント</h3> <p class="b-page-liaison-form-eventView_item-text">戸建「入居者宅見学」<br/>【深谷市】子育て世帯必見！100年住める4LDK平屋が無料で見学できます。<br/></p> </div> <div class="b-page-liaison-form-eventView_item"> <h3 class="b-page-liaison-form-eventView_item-title">日程</h3> <ul class="b-page-liaison-form-eventView_list"> <li class="b-page-liaison-form-eventView_list-item"> 2024/11/09(土) 〜 2024/11/30(土) </li> <li class="b-page-liaison-form-eventView_list-item"> 10：00～17：00 </li> <li class="b-page-liaison-form-eventView_list-item"> 完全予約制となりますのでお電話かＷＥＢサイトよりご予約ください。<br/>現場詳細住所は、ご予約受付後に営業担当者よりご連絡いたします。 </li> </ul> </div> <div class="b-page-liaison-form-eventView_item"> <h3 class="b-page-liaison-form-eventView_item-title">集合場所</h3> <p class="b-page-liaison-form-eventView_item-text"> 深谷市国済寺会場 </p> </div> <div class="b-page-liaison-form-eventView_item"> <h3 class="b-page-liaison-form-eventView_item-title">お問い合わせ先</h3> <ul class="b-page-liaison-form-eventView_list"> <li class="b-page-liaison-form-eventView_list-item">積水ハウス株式会社　深谷・本庄店</li> <li class="b-page-liaison-form-eventView_list-item">〒 360-0018埼玉県熊谷市中央2丁目5番地</li> <li class="b-page-liaison-form-eventView_list-item">担当：末久</li> <li class="b-page-liaison-form-eventView_list-item"> <span class="b-page-liaison-form-telLink-pc">TEL.048-525-4017</span> <a class="b-page-liaison-form-telLink-smp" href="tel:048-525-4017">TEL.048-525-4017</a> </li> </ul> </div> </div> </div> <p class="b-a-plainText b-a-plainText_m tpn-plain-text">下記項目をご入力の上、「入力内容確認画面へ進む」ボタンをクリックください。</p> <p class="b-a-plainText b-a-plainText_m tpn-plain-text">また、下記の【お預かりした個人情報の取り扱いについて】をお読みいただき、同意の上、「入力内容確認画面へ進む」ボタンをクリック下さい。</p> <p class="b-a-plainText b-a-plainText_m tpn-plain-text">後日、担当者よりご連絡させていただきます。</p>  <div class="b-page-liaison-form-errorCheck-box" style="display:none;"> <div class="b-m-errorText"> <p class="b-a-plainText b-a-plainText_m b-is-strong b-is-alert"> 入力内容に誤りがあります。恐れ入りますが下記の入力項目をもう一度ご確認ください。 </p> </div> </div> <h2 class="b-a-heading b-a-heading_h2">お預かりした個人情報の取り扱いについて</h2> <p class="b-a-plainText b-a-plainText_m tpn-plain-text">弊社は、お預かりした大切なお客様情報を、「住まい」「住環境」「街づくり」全般に及ぶ積水ハウスグループの事業を営む中で、グループ会社各社とともに適切に利用させて頂きます。</p> <p class="b-a-textLink"> <a class="b-a-textLink_anchor" href="https://www.sekisuihouse.com/information/privacy.html" target="_blank" rel="noopener">⇒積水ハウスのお客様情報保護方針はこちら</a> </p> <form novalidate name="web_planning" action="contact_check.php?id=b395004-2410-10152" method="post" onSubmit="JavaScript:return EnterCheck()"> <h2 class="b-page-liaison-form-eventView_heading-title">入力項目</h2> <table class="b-o-form_table"> <tbody class="b-o-form_tbody"> <tr class="b-o-form_mustRow"> <th class="b-o-form_th b-o-form_th-must"> <p class="b-a-plainText b-a-plainText_m">メールアドレス</p> </th> <td class="b-o-form_td b-page-request-efp-form_email"> <input class="b-a-input required" type="text" required="required" name="email" id="email" value="" placeholder="例） sekisui@sample.com" onfocusout="myPageExistedUserCheck(1, this, 'btn-login-email1')" onchange="validateInputConfirm('email')"> <div class="b-m-errorText email"> </div> </td> </tr> <tr class="b-o-form_mustRow email-confirm"> <th class="b-o-form_th b-o-form_th-must"> <p class="b-a-plainText b-a-plainText_m">※確認の為、もう一度ご入力ください</p> </th> <td class="b-o-form_td b-page-request-efp-form_email"> <input class="b-a-input required error" type="text" required="required" name="email_confirm" id="email_confirm" value="" placeholder="例） sekisui@sample.com" onchange="validateInputConfirm('email')"> <div class="b-m-errorText email d-none error-wrapper"> <p class="b-a-plainText b-a-plainText_m b-is-strong b-is-alert error-msg"></p> </div> </td> </tr> <tr class="b-o-form_mustRow"> <th class="b-o-form_th b-o-form_th-must"> <p class="b-a-plainText b-a-plainText_m">電話番号</p> <p class="b-a-plainText b-a-plainText_s">（ハイフン“-” を除く・半角数字）</p> </th> <td class="b-o-form_td"> <input class="b-a-input required error" type="text" name="tel" id="tel" required="required" value="" placeholder="例） 1234567" maxlength="11" onfocusout="myPageExistedUserCheck(2, this, 'btn-login-tel1')"> <div class="b-m-errorText tel"> </div> </td> </tr> <tr class="b-o-form_mustRow"> <th class="b-o-form_th b-o-form_th-must"> <p class="b-a-plainText b-a-plainText_m">お名前</p> </th> <td class="b-o-form_td"> <div class="b-o-form_wrap"> <div class="b-o-form_item"> <dl class="b-o-form_dl"> <dt> <p class="b-a-plainText b-a-plainText_m">姓</p> </dt> <dd> <input class="b-a-input" type="text" required="required" id="name_kanji1" name="name_kanji1" placeholder="例）積水" value=""> </dd> </dl> </div> <div class="b-o-form_item"> <dl class="b-o-form_dl"> <dt> <p class="b-a-plainText b-a-plainText_m">名</p> </dt> <dd> <input class="b-a-input" type="text" required="required" id="name_kanji2" name="name_kanji2" placeholder="例）太郎" value=""> </dd> </dl> </div> </div>  <div class="b-m-errorText name_kanji1"> </div> <div class="b-m-errorText name_kanji2"> </div> </td> </tr> <tr class="b-o-form_mustRow"> <th class="b-o-form_th b-o-form_th-must"> <p class="b-a-plainText b-a-plainText_m">ふりがな</p> </th> <td class="b-o-form_td"> <div class="b-o-form_wrap"> <div class="b-o-form_item"> <dl class="b-o-form_dl"> <dt> <p class="b-a-plainText b-a-plainText_m b-page-liaison-form-plainText_furigana">せい</p> </dt> <dd> <input class="b-a-input" type="text" id="name_kana1" required="required" name="name_kana1" placeholder="例）せきすい" value=""> </dd> </dl> </div> <div class="b-o-form_item"> <dl class="b-o-form_dl"> <dt> <p class="b-a-plainText b-a-plainText_m b-page-liaison-form-plainText_furigana">めい</p> </dt> <dd> <input class="b-a-input" type="text" id="name_kana2" required="required" name="name_kana2" placeholder="例）たろう" value=""> </dd> </dl> </div> </div>  <div class="b-m-errorText name_kana1"> </div> <div class="b-m-errorText name_kana2"> </div> </td> </tr> <tr class="b-o-form_mustRow"> <th class="b-o-form_th b-o-form_th-must"> <p class="b-a-plainText b-a-plainText_m">郵便番号</p> <p class="b-a-plainText b-a-plainText_s">（半角数字）</p> </th> <td class="b-o-form_td"> <div class="b-o-form_item zipArea"> <dl class="b-o-form_dl"> <dt> <p class="b-a-plainText b-a-plainText_m">〒</p> </dt> <dd class="zipField"> <div> <input class="required error b-a-input" type="text" required="required" maxlength="7" name="zip1" id="zip3" placeholder="例） 1234567" value=""> </div> <p class="b-a-plainText b-a-plainText_s input-notice">（最大7文字まで）</p> <button type="button" id="zipB" class="btn3">住所検索</button> </dd> </dl> </div>  <div class="b-m-errorText zip3"> </div> </td> </tr> <tr class="b-o-form_mustRow"> <th class="b-o-form_th b-o-form_th-must"> <p class="b-a-plainText b-a-plainText_m">ご住所</p> </th> <td class="b-o-form_td b-o-form_innerChart"> <div class="b-o-form_row"> <div class="b-page-liaison-form-item_address"> <p class="b-a-plainText b-a-plainText_m">都道府県</p> <div class="b-a-selectBox"> <div class="b-a-selectBox_bullet"></div> <select class="b-a-selectBox_select" name="prefs" id="prefs" required="required" class="required error "> <option class='b-a-selectBox_option' value="" >都道府県を選択ください</option><option class='b-a-selectBox_option' value="北海道" >北海道</option><option class='b-a-selectBox_option' value="青森県" >青森県</option><option class='b-a-selectBox_option' value="岩手県" >岩手県</option><option class='b-a-selectBox_option' value="宮城県" >宮城県</option><option class='b-a-selectBox_option' value="秋田県" >秋田県</option><option class='b-a-selectBox_option' value="山形県" >山形県</option><option class='b-a-selectBox_option' value="福島県" >福島県</option><option class='b-a-selectBox_option' value="茨城県" >茨城県</option><option class='b-a-selectBox_option' value="栃木県" >栃木県</option><option class='b-a-selectBox_option' value="群馬県" >群馬県</option><option class='b-a-selectBox_option' value="埼玉県" >埼玉県</option><option class='b-a-selectBox_option' value="千葉県" >千葉県</option><option class='b-a-selectBox_option' value="東京都" >東京都</option><option class='b-a-selectBox_option' value="神奈川県" >神奈川県</option><option class='b-a-selectBox_option' value="新潟県" >新潟県</option><option class='b-a-selectBox_option' value="富山県" >富山県</option><option class='b-a-selectBox_option' value="石川県" >石川県</option><option class='b-a-selectBox_option' value="福井県" >福井県</option><option class='b-a-selectBox_option' value="山梨県" >山梨県</option><option class='b-a-selectBox_option' value="長野県" >長野県</option><option class='b-a-selectBox_option' value="岐阜県" >岐阜県</option><option class='b-a-selectBox_option' value="静岡県" >静岡県</option><option class='b-a-selectBox_option' value="愛知県" >愛知県</option><option class='b-a-selectBox_option' value="三重県" >三重県</option><option class='b-a-selectBox_option' value="滋賀県" >滋賀県</option><option class='b-a-selectBox_option' value="京都府" >京都府</option><option class='b-a-selectBox_option' value="大阪府" >大阪府</option><option class='b-a-selectBox_option' value="兵庫県" >兵庫県</option><option class='b-a-selectBox_option' value="奈良県" >奈良県</option><option class='b-a-selectBox_option' value="和歌山県" >和歌山県</option><option class='b-a-selectBox_option' value="鳥取県" >鳥取県</option><option class='b-a-selectBox_option' value="島根県" >島根県</option><option class='b-a-selectBox_option' value="岡山県" >岡山県</option><option class='b-a-selectBox_option' value="広島県" >広島県</option><option class='b-a-selectBox_option' value="山口県" >山口県</option><option class='b-a-selectBox_option' value="徳島県" >徳島県</option><option class='b-a-selectBox_option' value="香川県" >香川県</option><option class='b-a-selectBox_option' value="愛媛県" >愛媛県</option><option class='b-a-selectBox_option' value="高知県" >高知県</option><option class='b-a-selectBox_option' value="福岡県" >福岡県</option><option class='b-a-selectBox_option' value="佐賀県" >佐賀県</option><option class='b-a-selectBox_option' value="長崎県" >長崎県</option><option class='b-a-selectBox_option' value="熊本県" >熊本県</option><option class='b-a-selectBox_option' value="大分県" >大分県</option><option class='b-a-selectBox_option' value="宮崎県" >宮崎県</option><option class='b-a-selectBox_option' value="鹿児島県" >鹿児島県</option><option class='b-a-selectBox_option' value="沖縄県" >沖縄県</option> </select> </div> <div class="b-m-errorText prefs"> </div> </div> <div class="b-page-liaison-form-item_address"> <p class="b-a-plainText b-a-plainText_m">市区町村・番地</p><input class="required error b-a-input" type="text" required="required" name="addr1" id="addr1" value="" placeholder="例）大阪市○○○○○1-2-3" > <div class="b-m-errorText addr1"> </div> </div> <div class="b-page-liaison-form-item_address"> <p class="b-a-plainText b-a-plainText_m">アパート・マンション名等</p><input class="b-a-input" type="text" name="addr2" id="addr2" value="" placeholder="例）〇〇マンション〇〇〇〇"> </div> </div> </td> </tr> <tr class="b-o-form_mustRow"> <th class="b-o-form_th b-o-form_th-must"> <p class="b-a-plainText b-a-plainText_m">希望日時</p> </th> <td class="b-o-form_td b-o-form_innerChart"> <div class="b-o-form_row"> <div class="b-page-liaison-form-item_entryDays"> <p class="b-a-plainText b-a-plainText_m">希望日時：</p> <div class="b-page-liaison-form-sideLineBlock"> <input type="text" name="raiten_date1" class="datepicker b-page-liaison-form-item_entryDaysPicker-required" id="raiten_date1" required="required" value="" placeholder="月日を選択ください" /> </div> <div class="b-a-selectBox"> <div class="b-a-selectBox_bullet"></div> <select class="b-a-selectBox_select" name="raiten_time1" id="raiten_time1" required> <option class="b-a-selectBox_option" selected value="">時間を選択ください</option> </select> </div>  <div class="b-m-errorText raiten_date1"> </div> <div class="b-m-errorText raiten_time1"> </div> </div> <div class="b-page-liaison-form-item_entryDays"> <p class="b-a-plainText b-a-plainText_m">ご希望の日程がない場合は、下記にお問い合わせ内容を明記の上ご相談ください。</p> <textarea class="b-o-form_textArea" name="comment" id="comment" cols="30" rows="10" placeholder="ご記入例：設計相談会で間取りについての話を聞いてみたい。特に水回りについて詳しく教えてほしい。○月○日の午後からであれば都合が良い。"></textarea> <p class="b-a-plainText b-a-plainText_s">（最大全角2000文字まで）</p> <p class="b-a-plainText b-a-plainText_s b-is-note">お電話でもお気軽にお問い合わせください。TEL. 048-525-4017　担当：末久</p> <p class="b-a-plainText b-a-plainText_s b-is-note">イベント当日のお申込みの場合はお手数ですが、上記「イベント概要」の「お問い合わせ先」まで直接ご連絡ください。</p> <div class="b-m-errorText comment"> </div> </div> </div> </td> </tr> <tr class="b-o-form_mustRow"> <th class="b-o-form_th"> <p class="b-a-plainText b-a-plainText_m">積水ハウスのオーナー様ですか?</p> </th> <td class="b-o-form_td"> <div class="b-o-form_radio b-o-form_radio-error b-js-radioError b-o-form_radio-column b-page-liaison-form-radioButton"> <label class="b-a-radioButton"> <input class="b-a-radioButton_input" type="radio" id="owneryes" name="is_owner" value="はい" > <div class="b-a-radioButton_label"> <p class="b-a-radioButton_text">はい</p> </div> </label> <label class="b-a-radioButton"> <input class="b-a-radioButton_input" type="radio" id="ownerno" name="is_owner" value="いいえ" > <div class="b-a-radioButton_label"> <p class="b-a-radioButton_text">いいえ</p> </div> </label> </div> <div class="b-m-errorText owneryes ownerno"> </div> </td> </tr> <tr class="b-o-form_mustRow"> <th class="b-o-form_th b-o-form_th-must"> <p class="b-a-plainText b-a-plainText_m">当社の営業と折衝中ですか?</p> <p class="b-a-plainText b-a-plainText_s b-is-note">「はい」にお答えの方は、事業所名・社員名をご記入ください。</p> </th> <td class="b-o-form_td b-o-form_innerChart b-page-liaison-form-td_negotiation"> <div class="b-o-form_row"> <div class="b-page-liaison-form-item_negotiation"> <div class="b-o-form_radio b-o-form_radio-error b-js-radioError b-o-form_radio-column b-page-liaison-form-radioButton"> <label class="b-a-radioButton"> <input class="b-a-radioButton_input" type="radio" name="negotiation" id="negoyes" value="はい" > <div class="b-a-radioButton_label"> <p class="b-a-radioButton_text b-a-plainText">はい</p> </div> </label> <label class="b-a-radioButton"> <input class="b-a-radioButton_input" type="radio" name="negotiation" id="negono" value="いいえ" checked="checked"> <div class="b-a-radioButton_label"> <p class="b-a-radioButton_text b-a-plainText">いいえ</p> </div> </label> </div> </div> <div class="b-page-liaison-form-item_negotiation"> <div class="b-page-liaison-form-item_negotiation-child"> <p class="b-a-plainText b-a-plainText_m">事業所名</p> <input class="b-a-input" type="text" name="shop" id="shop" value="" placeholder="事業所名"> </div> <div class="b-page-liaison-form-item_negotiation-child"> <p class="b-a-plainText b-a-plainText_m">社員名</p> <input class="b-a-input" type="text" name="employee_name" id="employee_name" value="" placeholder="例）山田"> </div> <div class="b-m-errorText shop"> </div> <div class="b-m-errorText employee_name"> </div> </div> </div> </td> </tr> <tr class="b-o-form_mustRow"> <th class="b-o-form_th b-o-form_th-must"> <p class="b-a-plainText b-a-plainText_m">参加人数</p> <p class="b-a-plainText b-a-plainText_s b-is-note">（半角数字）</p> </th> <td class="b-o-form_td"> <div class="b-page-liaison-form-ninzu"> 大人： <input class="b-page-liaison-form-input_ninzu required error" type="text" name="ninzu" id="ninzu" required="required" value="" size="10" placeholder="例） 3"> <p class="b-a-plainText b-page-liaison-form-plainText_ninzu">人</p> &emsp;&emsp; 子供： <input class="b-page-liaison-form-input_ninzu required error" type="text" name="ninzu_child" id="ninzu_child" required="required" value="" size="10" placeholder="例） 3"> <p class="b-a-plainText b-page-liaison-form-plainText_ninzu">人</p> </div>  <div class="b-m-errorText ninzu"></div> <div class="b-m-errorText ninzu_child"></div> </td> </tr> <tr class="b-o-form_mustRow"> <th class="b-o-form_th"> <p class="b-a-plainText b-a-plainText_m">積水ハウスをご予約いただくにあたり、ご紹介者さまはいらっしゃいますか?</p> </th> <td class="b-o-form_td"> <div class="b-o-form_radio b-o-form_radio-error b-js-radioError b-o-form_radio-column b-page-liaison-form-radioButton"> <label class="b-a-radioButton"> <input class="b-a-radioButton_input" type="radio" id="introduceryes" name="introducer" value="はい" > <div class="b-a-radioButton_label"> <p class="b-a-radioButton_text">はい</p> </div> </label> <label class="b-a-radioButton"> <input class="b-a-radioButton_input" type="radio" id="introducerno" name="introducer" value="いいえ" > <div class="b-a-radioButton_label"> <p class="b-a-radioButton_text">いいえ</p> </div> </label> </div> <div class="b-m-errorText introduceryes introducerno"> </div> </td> </tr> <tr class="b-o-form_mustRow"> <th class="b-o-form_th"> <p class="b-a-plainText b-a-plainText_m">積水ハウスのイベント情報に関するメールマガジンの受信を希望しますか?</p> </th> <td class="b-o-form_td"> <div class="b-o-form_radio b-o-form_radio-error b-js-radioError b-o-form_radio-column b-page-liaison-form-radioButton"> <label class="b-a-radioButton"> <input class="b-a-radioButton_input" type="radio" id="mailyes" name="mail" value="はい" > <div class="b-a-radioButton_label"> <p class="b-a-radioButton_text">はい</p> </div> </label> <label class="b-a-radioButton"> <input class="b-a-radioButton_input" type="radio" id="mailno" name="mail" value="いいえ" > <div class="b-a-radioButton_label"> <p class="b-a-radioButton_text">いいえ</p> </div> </label> </div> <div class="b-m-errorText mailyes mailno"> </div> </td> </tr> <tr class="b-o-form_mustRow is_register"> <th class="b-o-form_th b-o-form_th-must"> <p class="b-a-plainText b-a-plainText_m">My STAGE会員登録</p> </th> <td class="b-o-form_td input-block ml-0 mr-0"> <ul class="list-radio w-100 list desire-register-list"> <li class="list-item"> <input type="radio" name="is_register" onchange="displayRegisterPwAndLand()" id="is_register1" value="1" checked="checked"> <label for="is_register1">登録する</label> </li> <li class="list-item"> <input type="radio" name="is_register" onchange="displayRegisterPwAndLand()" id="is_register2" value="2" > <label for="is_register2">登録しない</label> </li> </ul> <a class="my-page-link icon-external" target="_blank" href="https://mypage.sekisuihouse.co.jp/about">My STAGE（会員サイト）とは</a> <div class="validate pw-register-block"> <div class="d-flex password-wrapper"> <label for="password">パスワード</label> <div class="input-field"> <div class="input-box"> <input required="required" id="password1_1" type="password" name="password1_1" onchange="validatePwStrength()" onfocusout="validateInputConfirm('password1_1')"> <button type="button" class="btn-toggle-pw" onclick="toggleShowPassword(event)" aria-label="toggle password"></button> </div> <p class="balloon"> 半角英大文字・小文字 / 数字を含む10文字以上でご入力ください。 </p> <div class="d-none error-wrapper"> <p class="errorInfo error-msg"></p> </div> </div> </div> <div class="d-flex password-confirm password1_1-confirm"> <label for="password_confirmation">パスワード（再入力）</label> <div class="input-field"> <div class="input-box"> <input required="required" id="password1_1_confirm" type="password" name="password1_1_confirm" onchange="validateInputConfirm('password1_1')"> <button type="button" class="btn-toggle-pw" onclick="toggleShowPassword(event)" aria-label="toggle password"></button> </div> <div class="d-none error-wrapper"> <p class="error-msg"></p> </div> </div> </div> <ul class="description"> <li> ※ 入力したパスワードは本登録やログインの際に必要ですので忘れないように管理してください。 </li> </ul> <div class="plan-construction-wrapper"> <ul class="list-radio list"> <label for="plan_construction">建築予定地</label> <li class="input-field list-item"> <input type="radio" name="plan_construction" id="plan_construction1" value="1" > <label for="plan_construction1">現住所と同じ</label> </li> <li class="input-field list-item"> <input type="radio" name="plan_construction" id="plan_construction2" value="2" > <label for="plan_construction2">予定地あり</label> </li> <li class="input-field list-item"> <input type="radio" name="plan_construction" id="plan_construction3" value="3" > <label for="plan_construction3">土地購入を検討中</label> </li> </ul> <div class="d-none error-wrapper"> <p class="errorInfo error-msg">必須項目です</p> </div> </div> </div> </td> </tr> <tr class="b-o-form_mustRow"> <th class="b-o-form_th b-o-form_th-must"> <p class="b-a-plainText b-a-plainText_m">お客様情報保護方針</p> </th> <td class="b-o-form_td"> <p class="b-a-textLink"><a class="b-a-textLink_anchor" href="/company/information/privacy/" target="_blank" rel="noopener">【お預かりした個人情報の取り扱いについて】</a></p> <p class="b-a-plainText b-a-plainText_s">こちらをお読みいただき、ご同意いただくことが前提となります。</p> <label class="b-m-checkboxButton"> <input class="b-m-checkboxButton_input" type="checkbox" value="同意する" name="privacy" id="privacy"> <p class="b-a-plainText b-a-plainText_m">同意する</p> </label>  <div class="b-m-errorText privacy"></div> </td> </tr> </tbody> </table> <p class="email-notice">※お申込みが完了すると、当社から各種イベントやセミナー等のご案内メールの受信に同意したこととなります。</p> <input class="b-o-form_button btn-confirm" type="submit" value="入力内容確認画面へ進む"> <h2 class="b-a-heading b-a-heading_h2">以下の情報をいただければ、よりスムーズかつ有益なご案内が可能です。</h2> <table class="b-o-form_table"> <tbody class="b-o-form_tbody"> <tr> <th class="b-o-form_th b-o-form_th-must"> <p class="b-a-plainText b-a-plainText_m">同時に希望するサービス</p> <p class="b-a-plainText b-a-plainText_s b-is-note">設計相談会(プランニングテーブル)のご案内は、ご希望の都道府県で実施されない場合がありますため、ご了承ください。</p> </th> <td class="b-o-form_td"> <div class="b-o-form_checkbox b-o-form_checkbox-column b-page-liaison-form-checkItem"> <label class="b-m-checkboxButton"> <input class="b-m-checkboxButton_input" type="checkbox" name="service[]" value="設計相談(プランニングテーブル)" /> <p class="b-a-plainText b-a-plainText_m b-page-liaison-form-checkboxButton">設計相談(プランニングテーブル)</p> </label> <label class="b-m-checkboxButton"> <input class="b-m-checkboxButton_input" type="checkbox" name="service[]" value="土地診断(敷地調査)" /> <p class="b-a-plainText b-a-plainText_m b-page-liaison-form-checkboxButton">土地診断(敷地調査)</p> </label> <label class="b-m-checkboxButton"> <input class="b-m-checkboxButton_input" type="checkbox" name="service[]" value="分譲地、土地情報" /> <p class="b-a-plainText b-a-plainText_m b-page-liaison-form-checkboxButton">分譲地、土地情報</p> </label> <label class="b-m-checkboxButton"> <input class="b-m-checkboxButton_input" type="checkbox" name="service[]" value="資金計画相談" /> <p class="b-a-plainText b-a-plainText_m b-page-liaison-form-checkboxButton">資金計画相談</p> </label> <label class="b-m-checkboxButton"> <input class="b-m-checkboxButton_input" type="checkbox" name="service[]" value="その他" /> <p class="b-a-plainText b-a-plainText_m b-page-liaison-form-checkboxButton">その他</p> </label> <input class="b-page-liaison-form-input_checkboxButton-etc" type="text" name="service_etc" value="" placeholder="「その他」の内容をご入力ください"> </div> </td> </tr> <tr> <th class="b-o-form_th b-o-form_th-must"> <p class="b-a-plainText b-a-plainText_m">当社のホームページを知るきっかけとなった媒体は何ですか?</p> </th> <td class="b-o-form_td"> <div class="b-o-form_checkbox b-o-form_checkbox-column b-page-liaison-form-checkItem"> <label class="b-m-checkboxButton"> <input class="b-m-checkboxButton_input" type="checkbox" name="media[]" value="yahoo不動産" > <p class="b-a-plainText b-a-plainText_m b-page-liaison-form-checkboxButton">yahoo不動産</p> </label> <label class="b-m-checkboxButton"> <input class="b-m-checkboxButton_input" type="checkbox" name="media[]" value="SUUMO" > <p class="b-a-plainText b-a-plainText_m b-page-liaison-form-checkboxButton">SUUMO</p> </label> <label class="b-m-checkboxButton"> <input class="b-m-checkboxButton_input" type="checkbox" name="media[]" value="tagle" > <p class="b-a-plainText b-a-plainText_m b-page-liaison-form-checkboxButton">tagle</p> </label> <label class="b-m-checkboxButton"> <input class="b-m-checkboxButton_input" type="checkbox" name="media[]" value="HOMES" > <p class="b-a-plainText b-a-plainText_m b-page-liaison-form-checkboxButton">HOMES</p> </label> <label class="b-m-checkboxButton"> <input class="b-m-checkboxButton_input" type="checkbox" name="media[]" value="日経電子版" > <p class="b-a-plainText b-a-plainText_m b-page-liaison-form-checkboxButton">日経電子版</p> </label> <label class="b-m-checkboxButton"> <input class="b-m-checkboxButton_input" type="checkbox" name="media[]" value="allabout" > <p class="b-a-plainText b-a-plainText_m b-page-liaison-form-checkboxButton">allabout</p> </label> <label class="b-m-checkboxButton"> <input class="b-m-checkboxButton_input" type="checkbox" name="media[]" value="SNS" > <p class="b-a-plainText b-a-plainText_m b-page-liaison-form-checkboxButton">SNS</p> </label> <label class="b-m-checkboxButton"> <input class="b-m-checkboxButton_input" type="checkbox" name="media[]" value="the Doors(テイクアンドギヴ・ニーズ)" > <p class="b-a-plainText b-a-plainText_m b-page-liaison-form-checkboxButton">the Doors(テイクアンドギヴ・ニーズ)</p> </label> <label class="b-m-checkboxButton"> <input class="b-m-checkboxButton_input" type="checkbox" name="media[]" value="その他のWEBサイト" > <p class="b-a-plainText b-a-plainText_m b-page-liaison-form-checkboxButton">その他のWEBサイト</p> </label> </div> </td> </tr> </tbody> </table> <p class="email-notice">※お申込みが完了すると、当社から各種イベントやセミナー等のご案内メールの受信に同意したこととなります。</p> <input class="b-o-form_button btn-confirm" type="submit" name="" value="入力内容確認画面へ進む"> <input name="ticket" type="hidden" value="2319ff4df8c990a6911a7c4cbd114185"> <input name="ptype" type="hidden" value="order"/> <input name="mystage_user_id" type="hidden" id="mystage_user_id" value=""/> <input name="building_id" type="hidden" id="building_id" value=""/> <input name="mp_data_set_flg" id="mp_data_set_flg" type="hidden" value=""/> <input name="is_login" id="is_login" type="hidden" value=""/> </form> </div> </div> </div> </div> </div> </div> </div> </div> </div>  <div class="mp-modal my-page-modal fade" id="set-data-form-modal"> <div class="modal-dialog modal-dialog-centered"> <div class="container"> <div class="row justify-content-center align-items-center"> <div class="col-12 col-md-6"> <div class="modal-content"> <div class="modal-header"> <h5 class="modal-title modal-title-sm" id="exampleModalToggleLabel">会員情報をフォームに反映させますか？</h5> </div> <div class="modal-footer"> <div class="row justify-content-center"> <div class="col-md-10"> <div class="mp-buttons mp-buttons-md mp-buttons_2btn-6col"> <div class="col-btn"> <button class="btn-mypage btn-mypage-lg btn-mypage-light" data-bs-dismiss="modal" onclick="closeModalSetData()"><span>いいえ</span> </button> </div> <div class="col-btn"> <button class="btn-mypage btn-mypage-lg btn-mypage-dark" data-bs-dismiss="modal" onclick="confirmSetData()"><span>はい</span> </button> </div> </div> </div> </div> </div> </div> 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