marui website -form-

<html> <head> <meta http-equiv="Content-Type" content="text/html; charset=UTF-8"> <meta http-equiv="content-script-type" content="text/javascript"> <meta http-equiv="content-style-type" content="text/css"> <title>marui website -form-</title> <script language="javascript" type="text/javascript" src="/inquiry/static/js/css.js"></script> <script language="javascript" type="text/javascript" src="/inquiry/static/js/distinction.js"></script> <style type="text/css">.line00 { background-color: #cccccc }</style> </head> <body bgcolor="#ffffff" text="#666666" marginwidth="0" marginheight="0"> <div align="center">  <table width="560" border="0" cellspacing="0" cellpadding="0" style="margin-top: 15px"> <tr> <td width="125" height="113" valign="top"><img src="/inquiry/static/img/each/head000.gif" alt="form" width="38" height="15"></td> <td width="1" class="line00"><img src="/inquiry/static/img/common/dot_blank.gif" alt="" width="1" height="1"></td> <td width="380" valign="bottom"><div style="margin-left: 7px"><img src="/inquiry/static/img/entry/title101.gif" alt="ご要望" width="67" height="23"></div> <div style="margin-top: 5px"></div></td> <td width="54" valign="bottom"><div><img src="/inquiry/static/img/each/tag000.gif" alt="\@IOI" width="52" height="19"></div><div style="margin-top: 2px"></div></td> </tr> </table> <table width="560" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="1" class="line00"><img src="/inquiry/static/img/common/dot_blank.gif" alt="" width="1" height="1"></td> </tr> </table>  <table width="560" border="0" cellspacing="0" cellpadding="0"> <tr> <td align="right"> <table width="435" border="0" cellspacing="0" cellpadding="0"> <tr valign="bottom"> <td width="1" height="24" class="line00"><img src="/inquiry/static/img/common/dot_blank.gif" alt="" width="1" height="1"></td> <td width="30"><div style="margin-left: 11px"><img src="/inquiry/static/img/each/point000.gif" alt="" width="10" height="10"></div></td> <td width="404"><font size="2" class="text1"> <span style="color: #cc3333">こんなマルイにして欲しい</span></font></td> </tr> </table> </td> </tr> </table> <table width="558" border="0" cellpadding="5" cellspacing="0" bgcolor="#FFFFFF" style="margin-top: 15px"> <tr> <td><font size="2" class="text2">丸井では、お客様に気持ち良くご利用いただける店づくりの一環として、広くお客様のご要望を伺いたいと考えております。　<br> 「こんな丸井だったらいいな」「こんなサービスがあれば」など、ご要望を、お寄せいただければ幸いです。</font></td> </tr> </table> <table width="558" border="0" cellpadding="5" cellspacing="1" bgcolor="#FF0000" style="margin-top: 15px"> <tr> <td bgcolor="#FFFFFF"><font size="2" class="text2"><span style="font-weight:bold; color:#cc0000">このページは、ご要望を伺う専用ページですので、原則ご返信はご容赦いただいております。</span><br> ご返答が必要な、商品・カード・お支払い・接客サービス等につきましては、前画面をご参照のうえ、お問い合わせくださいますようお願い申し上げます。</font></td> </tr> </table> <table width="560" border="0" cellspacing="0" cellpadding="0" style="margin-top:15px"> <tr> <td><font size="2" class="text1">下のフォームにご記入ください。<br> <span style="color: #cc3333">* は必ずご記入をお願いします</span></font></td> </tr> </table>  <form name="inquiryForm" method="post" action="./"> <input type="hidden" name="csrfmiddlewaretoken" value="VFvMaejwhgWv8J8aigmCJkG75YXtQBzVqJTV7FpGbsLFF32KMoqDJytv2jjQRbGn"> <input type="hidden" name="page" value="input">   <table width="560" border="0" cellspacing="0" cellpadding="0" style="margin-top:15px"> <tr> <td width="126" align="right" valign="top"><img src="/inquiry/static/img/entry/tag002.gif" alt="メールアドレス" width="103" height="16" style="margin-right:10px;"></td> <td width="434"><table width="434" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="33" valign="bottom"><div style="margin-left: 11px"><img src="/inquiry/static/img/each/point000.gif" alt="" width="10" height="10"></div></td> <td width="401"><font size="2" style="color: #999999" class="text1">お間違えのないよう、正確にご記入ください。</font></td> </tr> </table> <table width="434" border="0" cellspacing="0" cellpadding="0" style="margin-top: 4px"> <tr> <td width="434" height="2" background="/inquiry/static/img/each/bline000.gif"><img src="/inquiry/static/img/common/dot_blank.gif" width="1" height="1"></td> </tr> </table> <table width="434" border="0" cellspacing="0" cellpadding="0" style="margin-top: 5px"> <tr> <td><font size="2" style="color: #cc3333" class="text1">*</font> <font size="2" style="color: #cc3333" class="text1">Eメールアドレス<span style="color: #999999">（半角英数字）</span></font></td> </tr> </table> <table width="434" border="0" cellspacing="0" cellpadding="0" style="margin-top: 5px"> <tr> <td width="434"><div style="margin-left: 31px"> <input type="text" name="mailAddress" size="50" maxlength="100" id="id_mailAddress"> </div></td> </tr> </table> <table width="434" border="0" cellspacing="0" cellpadding="0" style="margin-top: 6px"> <tr> <td width="434" height="2" background="/inquiry/static/img/each/bline000.gif"><img src="/inquiry/static/img/common/dot_blank.gif" width="1" height="1"></td> </tr> </table></td> </tr> </table>   <table width="560" border="0" cellspacing="0" cellpadding="0" style="margin-top: 8px"> <tr> <td width="126" align="right" valign="top"><img src="/inquiry/static/img/entry/tag006.gif" alt="ご要望の記入欄" width="109" height="16" style="margin-right:10px;"></td> <td width="434"><table width="434" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="33" valign="bottom"><div style="margin-left: 11px"><img src="/inquiry/static/img/each/point000.gif" alt="" width="10" height="10"></div></td> <td width="401"><font size="2" style="color: #999999" class="text1">件名・ご質問の内容、共に必須です。必ずご記入ください。</font></td> </tr> </table> <table width="434" border="0" cellspacing="0" cellpadding="0" style="margin-top: 4px"> <tr> <td width="434" height="2" background="/inquiry/static/img/each/bline000.gif"><img src="/inquiry/static/img/common/dot_blank.gif" width="1" height="1"></td> </tr> </table> <table width="434" border="0" cellspacing="0" cellpadding="0" style="margin-top: 5px"> <tr> <td><font size="2" style="color: #cc3333" class="text1">*</font> <font size="2" style="color: #cc3333" class="text1">件名<span style="color: #000000">--簡潔なタイトルをご記入ください</span></font></td> </tr> </table> <table width="434" border="0" cellspacing="0" cellpadding="0" style="margin-top: 5px"> <tr> <td width="434"><div style="margin-left: 31px"> <input type="text" name="subject" size="50" maxlength="100" id="id_subject"> </div></td> </tr> </table> <table width="434" border="0" cellspacing="0" cellpadding="0" style="margin-top: 6px"> <tr> <td width="434" height="2" background="/inquiry/static/img/each/bline000.gif"><img src="/inquiry/static/img/common/dot_blank.gif" width="1" height="1"></td> </tr> </table> <table width="434" border="0" cellspacing="0" cellpadding="0" style="margin-top: 5px"> <tr> <td valign="top"><font size="2" style="color: #cc3333" class="text1">*</font> <font size="2" style="color: #cc3333" class="text1">内容<span style="color: #000000"> --2000文字を越えると送信できません　--ご利用店舗をお知らせください</span></font></td> </tr> </table> <table width="434" border="0" cellspacing="0" cellpadding="0" style="margin-top: 5px"> <tr> <td width="434"> <div style="margin-left: 31px"> <font size="2"> <textarea name="suggest" cols="54" rows="8" maxlength="2000" id="id_suggest"> </textarea> </font> <input type="submit" name="suggestShort" value="縮める"> <input type="submit" name="suggestWide" value="広げる"> </div> </td> </tr> </table> </td> </tr> </table>   <table width="560" border="0" cellspacing="0" cellpadding="0" style="margin-top:25px"> <tr> <td width="126" align="right" valign="top"><img src="/inquiry/static/img/entry/tag001.gif" alt="お客さまの情報" width="103" height="16" style="margin-right:10px;"></td> <td width="434"> <table width="434" border="0" cellspacing="0" cellpadding="0" style="margin-top: 5px"> <tr> <td><font size="2" style="color: #000000" class="text1">お名前--漢字<span style="color: #999999">（全角）</span></font></td> </tr> </table> <table border="0" cellspacing="0" cellpadding="0" style="margin-top: 5px"> <tr> <td width="31"><div style="margin-left: 11px"><font size="2" style="color: #000000" class="text1">姓</font></div></td> <td><div style="margin-left: 9px"> <input type="text" name="lastName" size="20" maxlength="30" id="id_lastName"> </div></td> <td><div style="margin-left: 24px"><font size="2" style="color: #000000" class="text1">名</font></div></td> <td><div style="margin-left: 9px"> <input type="text" name="firstName" size="20" maxlength="30" id="id_firstName"> </div></td> </tr> </table> <table width="434" border="0" cellspacing="0" cellpadding="0" style="margin-top: 6px"> <tr> <td width="434" height="2" background="/inquiry/static/img/each/bline000.gif"><img src="/inquiry/static/img/common/dot_blank.gif" width="1" height="1"></td> </tr> </table> <table width="434" border="0" cellspacing="0" cellpadding="0" style="margin-top: 5px"> <tr> <td><font size="2" style="color: #000000" class="text1">お名前--カナ<span style="color: #999999">（全角）</span></font></td> </tr> </table> <table border="0" cellspacing="0" cellpadding="0" style="margin-top: 5px"> <tr> <td width="31"><div style="margin-left: 11px"><font size="2" style="color: #000000" class="text1">姓</font></div></td> <td><div style="margin-left: 9px"> <input type="text" name="lastNameKana" size="20" maxlength="30" id="id_lastNameKana"> </div></td> <td><div style="margin-left: 24px"><font size="2" style="color: #000000" class="text1">名</font></div></td> <td><div style="margin-left: 9px"> <input type="text" name="firstNameKana" size="20" maxlength="30" id="id_firstNameKana"> </div></td> </tr> </table> <table width="434" border="0" cellspacing="0" cellpadding="0" style="margin-top: 6px"> <tr> <td width="434" height="2" background="/inquiry/static/img/each/bline000.gif"><img src="/inquiry/static/img/common/dot_blank.gif" width="1" height="1"></td> </tr> </table> <table width="434" border="0" cellspacing="0" cellpadding="0" style="margin-top: 5px"> <tr> <td><font size="2" style="color: #000000" class="text1">電話番号<span style="color: #999999">（半角数字）</span></font></td> </tr> </table> <table width="434" border="0" cellspacing="0" cellpadding="0" style="margin-top: 5px"> <tr> <td width="434"><div style="margin-left: 31px"> <input type="number" name="telArea" style="width:10ch" min="0" max="9999" id="id_telArea"> <input type="number" name="telLocal" style="width:10ch" min="0" max="9999" id="id_telLocal"> <input type="number" name="telNumber" style="width:10ch" min="0" max="9999" id="id_telNumber"> </div></td> </tr> </table> <table width="434" border="0" cellspacing="0" cellpadding="0" style="margin-top: 6px"> <tr> <td width="434" height="2" background="/inquiry/static/img/each/bline000.gif"><img src="/inquiry/static/img/common/dot_blank.gif" width="1" height="1"></td> </tr> </table> </td> </tr> </table> <table width="560" border="0" cellspacing="0" cellpadding="0" style="margin-top:20px"> <tr> <td width="10" height="9"><img src="/inquiry/static/img/entry/l_top.gif" alt="" width="9" height="9"></td> <td width="541" height="9" bgcolor="#EEEEEE"><img src="/inquiry/static/img/entry/spacer.gif" alt="" width="9" height="9"></td> <td width="10" height="9"><img src="/inquiry/static/img/entry/r_top.gif" alt="" width="9" height="9"></td> </tr> <tr> <td bgcolor="#EEEEEE"> </td> <td bgcolor="#EEEEEE"><font size="2" class="text2"><strong>個人情報の取扱いについて<br></strong></font> <ul type="disc" style="margin-left:0; margin-top:10px; margin-bottom:auto; padding-left:1.5em;"> <li><font size="2" class="text2">お客様にご記入いただいた個人情報は、（株）丸井にて責任をもって管理し、いただいたご意見の内容を詳しく伺う以外の目的には使用いたしません。</font></li> <li><font size="2" class="text2">ご記入いただいたご要望をもとに、店舗およびマルイグループ各社より連絡をさせていただく場合がございます。</font></li> </ul> </td> <td bgcolor="#EEEEEE"> </td> </tr> <tr> <td><img src="/inquiry/static/img/entry/l_bottom.gif" alt="" width="9" height="9"></td> <td bgcolor="#EEEEEE"><img src="/inquiry/static/img/entry/spacer.gif" alt="" width="9" height="9"></td> <td><img src="/inquiry/static/img/entry/r_bottom.gif" alt="" width="9" height="9"></td> </tr> </table> <table width="560" border="0" cellspacing="0" cellpadding="0" style="margin-top: 8px"> <tr> <td><font size="2" class="text1">「個人情報の取扱いについて」同意し、ご要望を送信される方は、次のボタンをクリックしてください。</font></td> </tr> </table> <table width="560" border="0" cellspacing="0" cellpadding="0" style="margin-top: 19px"> <tr> <td align="center"> <input type="image" name="submit" src="/inquiry/static/img/entry/btn001_3.gif" style="width:151px; height:17px; border:solid 0px;" alt="同意して送信する"></td> </tr> </table> </form>  <table border="0" cellspacing="0" cellpadding="0" style="margin-top: 40px"> <tr> <td><a href="javascript: window.close ( )"><img src="/inquiry/static/img/each/btn000.gif" alt="このウィンドーを閉じる" width="131" height="17" border="0"></a></td> </tr> </table>  <table border="0" cellpadding="0" cellspacing="0" width="560" style="margin-top: 40px"> <tr> <td width="12"><img src="/inquiry/static/img/common/copy_box.gif" width="12" height="12" alt=""></td> <td align="center" width="536"><font size="2" class="text1">Copyright All Rights Reserved. MARUI Co., Ltd.</font></td> <td width="12"><img src="/inquiry/static/img/common/copy_box.gif" width="12" height="12" alt=""></td> </tr> </table> <div style="margin-top: 32px"></div>  </div> <script type="text/javascript" src="/inquiry/Kmw0iy/2/o/7SgQjOL_2Q/O9SYLDfV/ZRlOJA/aWc1/OTAmdVUB"></script><script type="text/javascript" src="/OkWUiuj5-2cXK/Xj70SWzQvj4/Sv4/X1upXzrkNLpD/W2wAV3k9/fBssRw/QgPHYB"></script></body> </html>

CINXE.COM

marui website -form-