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お問い合わせ

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<!-- Google Tag Manager (noscript) --> <noscript> <iframe src="https://www.googletagmanager.com/ns.html?id=GTM-T6JJFZN" height="0" width="0" style="display:none;visibility:hidden"></iframe> </noscript> <!-- End Google Tag Manager (noscript) --> <div class="wrapper"> <!-- section:2981259 0011-0101 --> <section class="section-frame section-header section-0011-0101" id="section-frame-2981259" style="background-color: #ffffff; "> <div id="top"></div> <div class="container-fluid"> <div class="container"> <div class="row section-body" id="section-2981259"> <!-- block:3713535 021-0101 --> <div class="col-md-12 block-frame header_block" id="block-frame-3713535"> <div class="d-flex" id="block-3713535"> <!-- element:6089838 021-0101 --> <div class=" element-frame" id="element-frame-6089838"> <!-- element header-logomark-image --> <div class="element-body element-logoMark" id="element-6089838"> <div class="element-logoMark-inner clearfix"> <img loading="lazy" src="/lp_content/user_data/pro/images/normal/19717505296709/b94beeb637edd2870001706145112483.png" class="lazyload img-fluid element-logoMark-item" alt="" style="" /> </div> </div> </div> <!-- element:6089839 011-0101 --> <div class=" element-frame" id="element-frame-6089839"> <!-- element logotype-text --> <div class="element-body element-logoType" id="element-6089839"> <div class="element-logoType-inner"> <div class="element-logoType-item"> <span style="color: rgb(0, 0, 0); font-size: 18px;">一般社団法人<br>デジタル広告品質認証機構</span> </div> </div> </div> </div> </div> </div> </div> </div> </div> </section> <!-- section:2981260 0021-0202 --> <section class="section-frame section-cover section-0021-0202" id="section-frame-2981260" style=" background-image: url(/lp_content/user_data/pro/images/section_bg/19717505296709/48f86a42efe5ba410001706145112532.png); background-position: 0px 0px;"> <div class="container-fluid"> <div class="container"> <div class="row section-body" id="section-2981260"> <!-- block:3713536 021-0201 --> <div class="col-md-12 block-frame cover_block" id="block-frame-3713536"> <div class="row block-body" id="block-3713536"> <!-- element:6089840 011-0103 --> <div class="col-md-12 element-frame" id="element-frame-6089840"> <!-- element copy-text --> <div class="element-body element-copy" id="element-6089840"> <div class="element-copy-inner"> <h1 class="element-copy-item"> <span style="color: rgb(0, 0, 0); font-size: 36px;"><strong>お問い合わせ</strong></span> </h1> </div> </div> </div> </div> </div> </div> </div> </div> </section> <!-- section:2981261 0101-0401 --> <section class="section-frame section-0101-0401" id="section-frame-2981261" style=" "> <div class="container-fluid"> <div class="container"> <div class="row section-body" id="section-2981261"> <!-- block:3713537 011-0101 --> <div class="col-md-12 block-frame " id="block-frame-3713537"> <div class="row block-body" id="block-3713537"> <!-- element:6089841 011-0105 --> <div class="col-md-12 element-frame" id="element-frame-6089841"> <!-- element headline-text --> <div class="element-body element-heading" id="element-6089841"> <div class="element-heading-inner"> <h3 class="element-heading-item"> </h3> </div> </div> </div> <!-- element:6089842 011-0106 --> <div class="col-md-12 element-frame" id="element-frame-6089842"> <!-- element plain-text --> <div class="element-body element-text" id="element-6089842"> <div class="element-text-inner"> <div class="element-text-item"> <p>下記の項目にご入力のうえ、送信してください。</p>内容によりお返事を差し上げられない場合、または、お返事にお時間をいただく場合があります。<br>お問い合わせの内容によっては、電子メール以外の方法で回答を差し上げる場合がございます。<br><br>JICDAQ登録者の方は <a href="https://form.jicdaq.or.jp/contact-member" rel="noopener noreferrer" target="_blank">登録者専用フォーム</a> よりお問い合わせください。 </div> </div> </div> </div> </div> </div> </div> </div> </div> </section> <!-- section:2981262 0001-0001 --> <section class="section-frame section-0001-0001" id="section-frame-2981262" style=" "> <div id="form"></div> <div class="container-fluid"> <div class="container"> <div class="row section-body" id="section-2981262"> <!-- block:3713538 001-0001 --> <div class="col-md-12 block-frame form_block" id="block-frame-3713538"> <div class="row block-body" id="block-3713538"> <!-- element:6089843 001-0001 --> <div class="col-md-12 element-frame" id="element-frame-6089843"> <!-- element form --> <div class="element-body element-form" id="element-6089843"> <div class="element-form-inner"> <div class="element-form-item"> <div class="element-form-item-contents form-fieldset-margin-md form-fieldset-position-row efo-off "> <form action="/lp/19717505296709/submissions/confirm" method="post" name="form1" enctype="multipart/form-data" class="formmailer-form" data-form-hash="19717505296709" data-has-formdata="0" data-upload-progress-enabled="1" accept-charset="UTF-8" novalidate> <!-- name --> <div role="group" data-fieldset-id="4635901" class="form-fieldset form-fieldset-name required" data-ng-words-flg="0" data-ng-words="[]" data-fieldset-label="名前" > <legend>名前</legend> <div> <div class="form-group"> <div class="d-flex"> <div class="form-fieldgroup me-2"> <label for="field_4635901_sei" class="visually-hidden">名前の姓</label> <input id="field_4635901_sei" class="form-control form-name-sei" name="field_4635901_sei" type="text" value="" maxlength="2500" autocapitalize="off" placeholder="姓" required data-pattern="1" autocomplete="family-name"> <div class="invalid-feedback"></div> </div> <div class="form-fieldgroup"> <label for="field_4635901_mei" class="visually-hidden">名前の名</label> <input id="field_4635901_mei" class="form-control form-name-mei" name="field_4635901_mei" type="text" value="" maxlength="2500" autocapitalize="off" placeholder="名" required data-pattern="1" autocomplete="given-name"> <div class="invalid-feedback"></div> </div> </div> </div> </div> </div> <!-- name --> <div role="group" data-fieldset-id="4635902" class="form-fieldset form-fieldset-name required" data-ng-words-flg="0" data-ng-words="[]" data-fieldset-label="フリガナ" > <legend>フリガナ</legend> <div> <div class="form-group"> <div class="d-flex"> <div class="form-fieldgroup me-2"> <label for="field_4635902_sei" class="visually-hidden">名前の姓</label> <input id="field_4635902_sei" class="form-control form-name-sei" name="field_4635902_sei" type="text" value="" maxlength="2500" autocapitalize="off" placeholder="セイ" required data-pattern="1" autocomplete="family-name"> <div class="invalid-feedback"></div> </div> <div class="form-fieldgroup"> <label for="field_4635902_mei" class="visually-hidden">名前の名</label> <input id="field_4635902_mei" class="form-control form-name-mei" name="field_4635902_mei" type="text" value="" maxlength="2500" autocapitalize="off" placeholder="メイ" required data-pattern="1" autocomplete="given-name"> <div class="invalid-feedback"></div> </div> </div> </div> </div> </div> <!-- text --> <div role="group" data-fieldset-id="4635903" class="form-fieldset form-fieldset-text required" data-ng-words-flg="0" data-ng-words="[]" data-fieldset-label="会社名" > <legend>会社名</legend> <div> <div class="form-group form-fieldgroup"> <label for="field_4635903" class="visually-hidden">会社名</label> <input id="field_4635903" class="form-control" name="field_4635903" type="text" value="" style="width: 30rem" data-pattern="1" autocapitalize="off" placeholder="" required > <div class="invalid-feedback"></div> </div> </div> </div> <!-- text --> <div role="group" data-fieldset-id="4635904" class="form-fieldset form-fieldset-text optional" data-ng-words-flg="0" data-ng-words="[]" data-fieldset-label="部署名" > <legend>部署名</legend> <div> <div class="form-group form-fieldgroup"> <label for="field_4635904" class="visually-hidden">部署名</label> <input id="field_4635904" class="form-control" name="field_4635904" type="text" value="" style="width: 30rem" data-pattern="1" autocapitalize="off" placeholder="" > <div class="invalid-feedback"></div> </div> </div> </div> <!-- email --> <div role="group" data-fieldset-id="4635905" class="form-fieldset form-fieldset-email required " data-ng-words-flg="0" data-ng-words="[]" data-fieldset-label="メールアドレス" > <legend>メールアドレス</legend> <div> <div class="form-group"> <div class="row"> <div class="col-12 form-fieldgroup"> <label for="field_4635905" class="visually-hidden">メールアドレス</label> <input id="field_4635905" class="form-control form-email" name="field_4635905" type="email" maxlength="2500" placeholder="info@example.com" autocapitalize="off" required autocomplete="email"> <div class="invalid-feedback"></div> </div> </div> </div> </div> </div> <!-- phone --> <div role="group" data-fieldset-id="4635906" class="form-fieldset form-fieldset-phone-split required" data-fieldset-label="電話番号" > <legend>電話番号</legend> <div> <div class="form-group form-fieldgroup"> <div class="d-flex align-items-center"> <label for="field_4635906_1" class="visually-hidden">電話番号の市外局番</label> <input id="field_4635906_1" class="form-control form-group-control form-phone-number1" name="field_4635906_1" type="tel" value="" maxlength="4" pattern="^\d+$" placeholder="" required> <div class="mx-1">-</div> <label for="field_4635906_2" class="visually-hidden">電話番号の市内局番</label> <input id="field_4635906_2" class="form-control form-group-control form-phone-number2" name="field_4635906_2" type="tel" value="" maxlength="4" pattern="^\d+$" placeholder="" required> <div class="mx-1">-</div> <label for="field_4635906_3" class="visually-hidden">電話番号の加入者番号</label> <input id="field_4635906_3" class="form-control form-group-control form-phone-number3" name="field_4635906_3" type="tel" value="" maxlength="4" pattern="^\d+$" placeholder="" required> </div> <div class="invalid-feedback"></div> </div> </div> </div> <!-- textarea --> <div role="group" data-fieldset-id="4635913" class="form-fieldset form-fieldset-textarea required" data-ng-words-flg="0" data-ng-words="[]" data-fieldset-label="お問い合わせ内容" > <legend>お問い合わせ内容</legend> <div> <div class="form-group form-fieldgroup"> <label for="field_4635913" class="visually-hidden">お問い合わせ内容</label> <textarea id="field_4635913" class="form-control" name="field_4635913" style="width: 50rem" rows="5" data-pattern="1" autocapitalize="off" placeholder="" required ></textarea> <div class="invalid-feedback"></div> </div> </div> </div> <div class="d-grid gap-2 form-buttons"> <input class="btn btn-block btn-default form-btn-submit" name="submit" type="submit" id="submit" value="確認画面へ"> </div> <input type="hidden" name="key" value="19717505296709"> <input type="hidden" name="code" value="utf8"> <input type="hidden" name="validated" value="0"> <div class="toast-container position-fixed top-0 start-50 translate-middle-x p-4"> <div aria-atomic="true" aria-live="assertive" class="toast text-center bg-white border-0" role="alert"> <div class="d-flex p-2"> <div class="toast-body fw-bold w-100"> <div class="text-dark mb-3"> お客様の端末に保存されている<br> 前回中断された入力内容を復元しました </div> <div class="d-grid gap-2"> <button aria-label="Close" class="btn btn-sm btn-light" data-bs-dismiss="toast" type="button">メッセージを閉じる</button> <input class="btn btn-sm btn-danger toast-reset" type="button" value="入力内容のリセット"> </div> </div> </div> </div> </div> </form> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </section> <!-- section:2981263 0011-0201 --> <section class="section-frame section-footer section-0011-0201" id="section-frame-2981263" style=" "> <div class="container-fluid"> <div class="container"> <div class="row section-body" id="section-2981263"> <!-- block:3713539 021-0103 --> <div class="col-md-12 block-frame copyright_block" id="block-frame-3713539"> <div class="d-flex" id="block-3713539"> <!-- element:6089844 011-0102 --> <div class=" element-frame" id="element-frame-6089844"> <!-- element copyright-text --> <div class="element-body element-copyright" id="element-6089844"> <div class="element-copyright-inner"> <div class="element-copyright-item"> &copy;Copyright JICDAQ. All rights reserved. </div> </div> </div> </div> </div> </div> </div> </div> </div> </section> </div> <script> var page; $(window).on('pageshow', function() { // Promise, HTML5 Form Validationが利用できることを前提とする if (typeof Promise !== "undefined" && "validity" in document.createElement("input") && $(".formmailer-form").length > 0) { page = new SubmissionsCreatePage(); } }); </script> </body> </html>

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