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マイページログイン > 新規会員登録
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name="recaptchaResponse" id="recaptchaResponse"> <table border="0" cellspacing="0" cellpadding="0" width="100%"> <tr> <td id="center3"> <div id="bread"> <a href="https://cart6.shopserve.jp/lmaga.li/login.php">マイページログイン</a> > 新規会員登録 </div> <div class="centerbox"> <h3 class="title1">新規会員登録</h3> <div class="mainCont"> <p>会員になるとお買い物の際に、住所を入力する手間がかかりません。<br /> ぜひご登録ください！<br /> </p> <div class="bordlayoutp3 center"> <table class="sps-inputTablePopup" border="0" cellpadding="0" cellspacing="0" width="100%"> <tr> <td class="sps-inputItem">会員ID<span class="sps-requiredPopup cart_float_right">必須</span></td> <td class="sps-inputContent"> <input type="text" size="36" name="Account" class="amazon-param validate[reqMsg[id]]" value="" placeholder="例）yamada@example.co.jp"/> <div>（6文字以上80文字以内半角英数記号）</div> </td> </tr> <tr> <td>パスワード<span class="sps-requiredPopup cart_float_right">必須</span></td> <td> <input type="password" style="ime-mode:disabled" size="36" class="validate[reqMsg[pass]]" name="Password1" value="" placeholder="例）1-kmb!ja"/> <div>（半角英数字・記号を混ぜた8文字以上）</div> </td> </tr> <tr> <td>パスワード（確認）<span class="sps-requiredPopup cart_float_right">必須</span></td> <td> <input type="password" style="ime-mode:disabled" size="36" class="validate[reqMsg[pass_conf]]" name="Password2" value="" /> <div>（確認のためパスワードを再入力してください。）</div> </td> </tr> <tr> <td>メールアドレス<span class="sps-requiredPopup cart_float_right">必須</span></td> <td> <input type="text" size="36" name="Mail" class="amazon-param validate[reqMsg[email]] zen-to-han" value="" placeholder="例）yamada@example.co.jp" /> </td> </tr> <tr> <td>携帯アドレス（第2連絡先）</td> <td> <input type="text" size="36" name="Kmail" class="amazon-param validate[chkMsg[email2]] zen-to-han" value="" placeholder="例）yamada@docomo.ne.jp" /> </td> </tr> <tr> <td>お名前<span class="sps-requiredPopup cart_float_right">必須</span></td> <td> <div style="float:left"> <input type="text" size="15" name="LName" class="amazon-param validate[reqMsg[lName]]" value="" placeholder="例）山田" /> </div> <div style="float:left;"> </div> <div style="float:left"> <input type="text" size="15" name="FName" class="amazon-param validate[reqMsg[fName]]" value="" placeholder="例）太郎" /> </div> <div class="name_target formError" style="clear:both"></div> </td> </tr> <tr> <td>郵便番号<span class="sps-requiredPopup cart_float_right">必須</span></td> <td> <input type="text" size="12" name="Zip99" class="amazon-param validate[reqMsg[zip]] zip_size" value="" placeholder="例）1000000"/> </td> </tr> <tr> <td>都道府県<span class="sps-requiredPopup cart_float_right">必須</span></td> <td> <select name="Pref" class="amazon-param validate[reqMsg[pref]] seekzip_pref"> <option value="">選択してください</option> <option value="北海道">北海道</option> <option value="青森県">青森県</option> <option value="岩手県">岩手県</option> <option value="宮城県">宮城県</option> <option value="秋田県">秋田県</option> <option value="山形県">山形県</option> <option value="福島県">福島県</option> <option value="茨城県">茨城県</option> <option value="栃木県">栃木県</option> <option value="群馬県">群馬県</option> <option value="埼玉県">埼玉県</option> <option value="千葉県">千葉県</option> <option value="東京都">東京都</option> <option value="神奈川県">神奈川県</option> <option value="新潟県">新潟県</option> <option value="富山県">富山県</option> <option value="石川県">石川県</option> <option value="福井県">福井県</option> <option value="山梨県">山梨県</option> <option value="長野県">長野県</option> <option value="岐阜県">岐阜県</option> <option value="静岡県">静岡県</option> <option value="愛知県">愛知県</option> <option value="三重県">三重県</option> <option value="滋賀県">滋賀県</option> <option value="京都府">京都府</option> <option value="大阪府">大阪府</option> <option value="兵庫県">兵庫県</option> <option value="奈良県">奈良県</option> <option value="和歌山県">和歌山県</option> <option value="鳥取県">鳥取県</option> <option value="島根県">島根県</option> <option value="岡山県">岡山県</option> <option value="広島県">広島県</option> <option value="山口県">山口県</option> <option value="徳島県">徳島県</option> <option value="香川県">香川県</option> <option value="愛媛県">愛媛県</option> <option value="高知県">高知県</option> <option value="福岡県">福岡県</option> <option value="佐賀県">佐賀県</option> <option value="長崎県">長崎県</option> <option value="熊本県">熊本県</option> <option value="大分県">大分県</option> <option value="宮崎県">宮崎県</option> <option value="鹿児島県">鹿児島県</option> <option value="沖縄県">沖縄県</option> </select> </td> </tr> <tr> <td>市区郡<span class="sps-requiredPopup cart_float_right">必須</span></td> <td> <input type="text" size="36" name="Addr1" class="amazon-param validate[reqMsg[addr1]] seekzip_addr1" value="" placeholder="例）新宿区" /> </td> </tr> <tr> <td>町村字番地<span class="sps-requiredPopup cart_float_right">必須</span></td> <td> <table class="sps-inputTable-banchiPopup"> <tr> <td style="width:60px!important;" >町村字：</td> <td style="width:auto!important;"> <div> <input type="text" size="26" name="Addr2" class="amazon-param validate[reqMsg[addr2_1]] seekzip_addr2" value="" placeholder="例）西新宿" style="height:17px;ime-mode: active;"/> </div> </td> </tr> <tr> <td style="width:60px!important;">番地：</td> <td style="width:auto!important;"> <div> <input type="text" size="20" name="Banchi" id="spsBanchi" class="amazon-param validate[reqMsg[banchi]]" value="" placeholder="例）1-1-1" style="height:17px;ime-mode: active;" /> <label id="check_addr" class="has-error no-point" style="display:none;">番地が抜けていないかご確認ください。</label> </div> </td> </tr> </table> <div style="margin:10px 0 0 2px;">番地がない場合は「番地なし」と入力してください</div> </td> </tr> <tr> <td>建物名（部屋番号）</td> <td> <input type="text" size="36" name="Addr3" class="amazon-param validate[chkMsg[addr3]]" value="" placeholder="例）西新宿マンション204" /> </td> </tr> <tr> <td>お電話番号<span class="sps-requiredPopup cart_float_right">必須</span></td> <td> <input type="text" size="24" class="validate[reqMsg[tel]]" name="Tel99" value="" placeholder="例）0300000000" /> </td> </tr> <tr> <td>当店からのお知らせメール<span class="sps-requiredPopup cart_float_right">必須</span></td> <td class="form_group"> <label for="NoticeMail_Y"><input type="radio" data-prompt-target="NoticeMail_target" name="NoticeMail" class="amazon-param radio validate[reqMsg[noticeMail_radio]]" id="NoticeMail_Y" value="Y" /> 受け取る</label><br/> <label for="NoticeMail_N"><input type="radio" data-prompt-target="NoticeMail_target" name="NoticeMail" class="amazon-param radio validate[reqMsg[noticeMail_radio]]" id="NoticeMail_N" value="N"/> 受け取らない</label> <div id="NoticeMail_target"></div> </td> </tr> <tr> <td colspan="2"> <textarea cols="65" rows="10" readonly>会員規約 第1条 会員の登録 1.入会金・年会費は、無料です。 2.本規約を同意の上、会員登録を行なってください。 3.同じメールアドレスでの複数登録は、無効とします。 第2条 会員情報の変更 住所、電話番号などの会員情報に変更が生じた場合は、当店までお届けください。 第3条 会員の退会 会員が退会を希望する場合には、当店までメールにてご連絡ください。退会手続きの終了後、退会となります。 第4条 本サービスの変更・廃止 当店の判断により、本サービスを変更・廃止をすることが出来るものとします。 </textarea> </td> </tr> <tr> <td colspan="2"> <label for="agree"><input type="checkbox" name="agree" class='amazon-param checkbox' id="agree" value="1" /> 会員規約が契約の内容となることに同意する</label> </td> </tr> </table> <br /> <input type="button" class="validation_pcsubmit_btn" data-function-call="agree2(document.NEWMEM, false)" value="会員登録する" /> <input type="button" onClick="javascript:location.href='https://cart6.shopserve.jp/lmaga.li/login.php'" value="キャンセル" /> <br /> <br /> </div> </div> </div> </td> </tr> </table> </form> <script src="https://cart6.shopserve.jp/js/jquery-ui-1.11.1.min.js" charset="UTF-8"></script> <link rel="stylesheet" href="https://cart6.shopserve.jp/css/smoothness/jquery-ui-1.11.1.min.css" /> <!-- //中央コンテンツ --> </td> </tr> </table> <form name="LOGOUT" action="login.php" method="post"> <input type="hidden" name="ACTION" value="LOGOUT" /> </form> <script type="text/javascript"> var esShopKey = "lmaga.li"; </script> <script type="text/javascript" src="https://cdn02.estore.jp/beacon/estore_beacon.js"></script> </body> </html>