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僀儀儞僩丒憡択夛丒僆儞儔僀儞僙儈僫乕怽崬僼僅乕儉乥拞擔僴僂僕儞僌僙儞僞乕 垽抦
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SMP_TEMPLATE_HEADER end --> </div> <!-- SMP_TEMPLATE_FORM start --> <div class="section_wrap"> <p class="red txt_indent">仸杮僙儈僫乕怽崬偵傛傞塩嬈峴堊偼堦愗偛偞偄傑偣傫丅</p> <p class="red txt_indent">仸偼昁恵崁栚偲側傝丄偛擖椡偑側偄応崌憲怣偱偒傑偣傫偺偱偛椆彸壓偝偄丅</p> <p class="red txt_indent">仸梊栺偑掕堳偵払偟偨応崌丄擔晅丒帪娫偑昞帵偝傟傑偣傫丅昞帵偝傟側偄応崌偼梊栺偱偒傑偣傫偺偱丄偛椆彸偔偩偝偄丅</p> </div> <div class="section_wrap"> <h3 class="ttl_h3">偍怽崬傒忣曬</h3> <div class="form_wrap"> <form method="post" action="/regist/Reg2"> <div class="table_break"> <dl class="form_name"> <dt>梊栺僀儀儞僩丒憡択夛丒<br class="display_pc">僆儞儔僀儞僙儈僫乕柤</dt> <dd><div class="wrap" id="C-name_txt"></div><input type="hidden" id="C-name" name="C-name" value=""><span class="msg"></span></dd> </dl> <dl class="data"> <dt>擔晅<i>昁恵</i></dt> <dd class="cal_input"> <div class="wrap"> <input class="input year date-y " id="eventDate_yy" type="text" name="eventDate:y" value="" maxlength="4" size="3"><span>擭</span> <input class="input date-m " id="eventDate_mm" type="text" name="eventDate:m" value="" maxlength="2" size="3"><span>寧</span> <input class="input date-d " id="eventDate_dd" type="text" name="eventDate:d" value="" maxlength="2" size="3"><span>擔</span> <select name="ConferenceID" id="ConferenceID" sytyle="padding:5px;border-radius:3px;"> </select> <select id="ConferenceID_base" style="display:none;"> array(10) { [0]=> array(9) { ["eventDate"]=> string(16) "2024擭11寧3擔" ["ConferenceID"]=> string(5) "04621" ["eventTime"]=> string(10) "10帪00暘" ["C-name"]=> string(42) "偼偠傔偰偺廧傑偄偯偔傝憡択夛" ["venueNameS"]=> string(1) "5" ["capacity"]=> string(1) "1" ["yy"]=> string(4) "2024" ["mm"]=> string(2) "11" ["dd"]=> string(1) "3" } [1]=> array(9) { ["eventDate"]=> string(16) "2024擭11寧3擔" ["ConferenceID"]=> string(5) "04624" ["eventTime"]=> string(10) "11帪00暘" ["C-name"]=> string(42) "偼偠傔偰偺廧傑偄偯偔傝憡択夛" ["venueNameS"]=> string(1) "5" ["capacity"]=> string(1) "1" ["yy"]=> string(4) "2024" ["mm"]=> string(2) "11" ["dd"]=> string(1) "3" } [2]=> array(9) { ["eventDate"]=> string(16) "2024擭11寧3擔" ["ConferenceID"]=> string(5) "04625" ["eventTime"]=> string(10) "13帪00暘" ["C-name"]=> string(42) "偼偠傔偰偺廧傑偄偯偔傝憡択夛" ["venueNameS"]=> string(1) "5" ["capacity"]=> string(1) "1" ["yy"]=> string(4) "2024" ["mm"]=> string(2) "11" ["dd"]=> string(1) "3" } [3]=> array(9) { ["eventDate"]=> string(16) "2024擭11寧3擔" ["ConferenceID"]=> string(5) "04626" ["eventTime"]=> string(10) "14帪00暘" ["C-name"]=> string(42) "偼偠傔偰偺廧傑偄偯偔傝憡択夛" ["venueNameS"]=> string(1) "5" ["capacity"]=> string(1) "1" ["yy"]=> string(4) "2024" ["mm"]=> string(2) "11" ["dd"]=> string(1) "3" } [4]=> array(9) { ["eventDate"]=> string(16) "2024擭11寧3擔" ["ConferenceID"]=> string(5) "04627" ["eventTime"]=> string(10) "15帪00暘" ["C-name"]=> string(42) "偼偠傔偰偺廧傑偄偯偔傝憡択夛" ["venueNameS"]=> string(1) "5" ["capacity"]=> string(1) "1" ["yy"]=> string(4) "2024" ["mm"]=> string(2) "11" ["dd"]=> string(1) "3" } [5]=> array(9) { ["eventDate"]=> string(16) "2024擭12寧8擔" ["ConferenceID"]=> string(5) "04721" ["eventTime"]=> string(10) "10帪00暘" ["C-name"]=> string(42) "偼偠傔偰偺廧傑偄偯偔傝憡択夛" ["venueNameS"]=> string(1) "5" ["capacity"]=> string(1) "1" ["yy"]=> string(4) "2024" ["mm"]=> string(2) "12" ["dd"]=> string(1) "8" } [6]=> array(9) { ["eventDate"]=> string(16) "2024擭12寧8擔" ["ConferenceID"]=> string(5) "04722" ["eventTime"]=> string(10) "11帪00暘" ["C-name"]=> string(42) "偼偠傔偰偺廧傑偄偯偔傝憡択夛" ["venueNameS"]=> string(1) "5" ["capacity"]=> string(1) "1" ["yy"]=> string(4) "2024" ["mm"]=> string(2) "12" ["dd"]=> string(1) "8" } [7]=> array(9) { ["eventDate"]=> string(16) "2024擭12寧8擔" ["ConferenceID"]=> string(5) "04723" ["eventTime"]=> string(10) "13帪00暘" ["C-name"]=> string(42) "偼偠傔偰偺廧傑偄偯偔傝憡択夛" ["venueNameS"]=> string(1) "5" ["capacity"]=> string(1) "1" ["yy"]=> string(4) "2024" ["mm"]=> string(2) "12" ["dd"]=> string(1) "8" } [8]=> array(9) { ["eventDate"]=> string(16) "2024擭12寧8擔" ["ConferenceID"]=> string(5) "04724" ["eventTime"]=> string(10) "14帪00暘" ["C-name"]=> string(42) "偼偠傔偰偺廧傑偄偯偔傝憡択夛" ["venueNameS"]=> string(1) "5" ["capacity"]=> string(1) "1" ["yy"]=> string(4) "2024" ["mm"]=> string(2) "12" ["dd"]=> string(1) "8" } [9]=> array(9) { ["eventDate"]=> string(16) "2024擭12寧8擔" ["ConferenceID"]=> string(5) "04725" ["eventTime"]=> string(10) "15帪00暘" ["C-name"]=> string(42) "偼偠傔偰偺廧傑偄偯偔傝憡択夛" ["venueNameS"]=> string(1) "5" ["capacity"]=> string(1) "1" ["yy"]=> string(4) "2024" ["mm"]=> string(2) "12" ["dd"]=> string(1) "8" } } <option data-yy="2024" data-mm="11" data-dd="3" data-eventtime="10帪00暘" data-cname="偼偠傔偰偺廧傑偄偯偔傝憡択夛" data-venuenames="5" value="04621">10帪00暘〜</option> <option data-yy="2024" data-mm="11" data-dd="3" data-eventtime="11帪00暘" data-cname="偼偠傔偰偺廧傑偄偯偔傝憡択夛" data-venuenames="5" value="04624">11帪00暘〜</option> <option data-yy="2024" data-mm="11" data-dd="3" data-eventtime="13帪00暘" data-cname="偼偠傔偰偺廧傑偄偯偔傝憡択夛" data-venuenames="5" value="04625">13帪00暘〜</option> <option data-yy="2024" data-mm="11" data-dd="3" data-eventtime="14帪00暘" data-cname="偼偠傔偰偺廧傑偄偯偔傝憡択夛" data-venuenames="5" value="04626">14帪00暘〜</option> <option data-yy="2024" data-mm="11" data-dd="3" data-eventtime="15帪00暘" data-cname="偼偠傔偰偺廧傑偄偯偔傝憡択夛" data-venuenames="5" value="04627">15帪00暘〜</option> <option data-yy="2024" data-mm="12" data-dd="8" data-eventtime="10帪00暘" data-cname="偼偠傔偰偺廧傑偄偯偔傝憡択夛" data-venuenames="5" value="04721">10帪00暘〜</option> <option data-yy="2024" data-mm="12" data-dd="8" data-eventtime="11帪00暘" data-cname="偼偠傔偰偺廧傑偄偯偔傝憡択夛" data-venuenames="5" value="04722">11帪00暘〜</option> <option data-yy="2024" data-mm="12" data-dd="8" data-eventtime="13帪00暘" data-cname="偼偠傔偰偺廧傑偄偯偔傝憡択夛" data-venuenames="5" value="04723">13帪00暘〜</option> <option data-yy="2024" data-mm="12" data-dd="8" data-eventtime="14帪00暘" data-cname="偼偠傔偰偺廧傑偄偯偔傝憡択夛" data-venuenames="5" value="04724">14帪00暘〜</option> <option data-yy="2024" data-mm="12" data-dd="8" data-eventtime="15帪00暘" data-cname="偼偠傔偰偺廧傑偄偯偔傝憡択夛" data-venuenames="5" value="04725">15帪00暘〜</option> </select> <input id='eventTime' type="hidden" name="eventTime" value=""> </div> <div class="wrap">擔晅丒帪娫偼梊栺壜擻側帪娫偺傒昞帵偝傟傑偡丅<br>昞帵偝傟側偄応崌偼梊栺偱偒傑偣傫偺偱偛椆彸偔偩偝偄丅<span class="msg"></span> </div> </dd> </dl> <dl class="name"> <dt class="title">巵柤(慡妏) <i>昁恵</i></dt> <dd class="data "> <div class="wrap"> <input class="input full" type="text" name="name" value="" maxlength="64" placeholder="嶳揷丂懢榊"><span class="msg"></span> </div> </dd> </dl> <dl class="kana"> <dt class="title">僼儕僈僫(慡妏) <i>昁恵</i></dt></dt> <dd class="data "> <div class="wrap"> <input class="input full" type="text" name="nameKana" value="" maxlength="64" placeholder="儎儅僟丂僞儘僂"><span class="msg"></span> </div> </dd> </dl> <dl class="email"> <dt class="title">儊乕儖傾僪儗僗<i>昁恵</i></dt></dt> <dd class="data "> <div class="wrap"> <input class="input full" type="email" name="mail" value="" maxlength="129" placeholder="example@mail.com"> </div> </dd> </dl> <dl class="email2"> <dt>儊乕儖傾僪儗僗(妋擣)<i>昁恵</i></dt> <dd> <div class="wrap"> <input class="input full" type="email" name="mail:cf" value="" maxlength="129" placeholder="example@mail.com"><span class="msg"></span> </div> </dd> </dl> <dl class="zip"> <dt class="title">梄曋斣崋(敿妏)<i>昁恵</i></dt> <dd class="data zipcode"> <div class="wrap"> <span>仹</span><input class="input p-postal-code" type="text" name="zipCode:a" value="" maxlength="3" size="3" placeholder="000"> <span>-</span><input class="input p-postal-code" type="text" name="zipCode:t" value="" maxlength="4" size="3" placeholder="0000"><span class="msg"></span> </div> </dd> </dl> <dl class="pref"> <dt class="title">搒摴晎導 <i>昁恵</i></dt> <dd class="data "> <div class="wrap"> <select class=" p-region" name="pref"> <option value="">仴慖戰偟偰偔偩偝偄</option> <option value="杒奀摴" >杒奀摴</option> <option value="惵怷導" >惵怷導</option> <option value="娾庤導" >娾庤導</option> <option value="媨忛導" >媨忛導</option> <option value="廐揷導" >廐揷導</option> <option value="嶳宍導" >嶳宍導</option> <option value="暉搰導" >暉搰導</option> <option value="堬忛導" >堬忛導</option> <option value="撊栘導" >撊栘導</option> <option value="孮攏導" >孮攏導</option> <option value="嶉嬍導" >嶉嬍導</option> <option value="愮梩導" >愮梩導</option> <option value="搶嫗搒" >搶嫗搒</option> <option value="恄撧愳導" >恄撧愳導</option> <option value="怴妰導" >怴妰導</option> <option value="晉嶳導" >晉嶳導</option> <option value="愇愳導" >愇愳導</option> <option value="暉堜導" >暉堜導</option> <option value="嶳棞導" >嶳棞導</option> <option value="挿栰導" >挿栰導</option> <option value="婒晫導" >婒晫導</option> <option value="惷壀導" >惷壀導</option> <option value="垽抦導" >垽抦導</option> <option value="嶰廳導" >嶰廳導</option> <option value="帬夑導" >帬夑導</option> <option value="嫗搒晎" >嫗搒晎</option> <option value="戝嶃晎" >戝嶃晎</option> <option value="暫屔導" >暫屔導</option> <option value="撧椙導" >撧椙導</option> <option value="榓壧嶳導" >榓壧嶳導</option> <option value="捁庢導" >捁庢導</option> <option value="搰崻導" >搰崻導</option> <option value="壀嶳導" >壀嶳導</option> <option value="峀搰導" >峀搰導</option> <option value="嶳岥導" >嶳岥導</option> <option value="摽搰導" >摽搰導</option> <option value="崄愳導" >崄愳導</option> <option value="垽昋導" >垽昋導</option> <option value="崅抦導" >崅抦導</option> <option value="暉壀導" >暉壀導</option> <option value="嵅夑導" >嵅夑導</option> <option value="挿嶈導" >挿嶈導</option> <option value="孎杮導" >孎杮導</option> <option value="戝暘導" >戝暘導</option> <option value="媨嶈導" >媨嶈導</option> <option value="幁帣搰導" >幁帣搰導</option> <option value="壂撽導" >壂撽導</option> <option value="偦偺懠" >偦偺懠</option> </select><span class="msg"></span> </div> </dd> </dl> <dl class="address"> <dt class="title">廧強(慡妏)<i>昁恵</i></dt> <dd class="data "> <div class="wrap"> <input class="input p-locality p-street-address p-extended-address full" type="text" name="adress" value="" maxlength="128" placeholder="垽抦導柤屆壆巗"><span class="msg"></span> </div> </dd> </dl> <dl class="tel"> <dt class="title">TEL(敿妏)<i>昁恵</i></dt> <dd class="data phone"> <div class="wrap"> <input class="input " type="text" name="tel_:a" value="" maxlength="6" size="3"> <span>-</span><input class="input " type="text" name="tel_:e" value="" maxlength="4" size="3"> <span>-</span><input class="input " type="text" name="tel_:n" value="" maxlength="5" size="3"> </div> <span class="msg"></span> </dd> </dl> <!-- <dl class="tel"> <dt class="title">TEL(敿妏)<i>昁恵</i></dt> <dd class="data phone"> <div class="wrap"> <input class="input " type="text" name="tel1" value="" maxlength="15" placeholder="000-000-0000"><br><span class="msg"></span> </div> </dd> </dl> --> <dl class="tel"> <dt class="title">惈暿<i>昁恵</i></dt> <dd class="data multi2"> <div class="wrap radio_wrap radio cf"> <input id="sex_radio1" class="input" type="radio" name="sex_radio" value="1" checked="checked"><label for="sex_radio1"><span>抝</span></label> <input id="sex_radio2" class="input" type="radio" name="sex_radio" value="2" ><label for="sex_radio2"><span>彈</span></label> <input id="sex_radio3" class="input" type="radio" name="sex_radio" value="3" ><label for="sex_radio3"><span>枹夞摎</span></label> </div> <input type="hidden" value="" name="sex_radio"> <span class="msg"></span> </dd> </dl> <dl class="tel"> <dt class="title">擭戙<i>昁恵</i></dt> <dd class="data multi2"> <div class="wrap radio_wrap radio cf"> <input id="arg_radio1" class="input" type="radio" name="arg_radio" value="1" checked="checked"><label for="arg_radio1"><span>20戙</span></label> <input id="arg_radio2" class="input" type="radio" name="arg_radio" value="2" ><label for="arg_radio2"><span>30戙</span></label> <input id="arg_radio3" class="input" type="radio" name="arg_radio" value="3" ><label for="arg_radio3"><span>40戙</span></label> <input id="arg_radio4" class="input" type="radio" name="arg_radio" value="4" ><label for="arg_radio4"><span>50戙</span></label> <input id="arg_radio5" class="input" type="radio" name="arg_radio" value="5" ><label for="arg_radio5"><span>60戙埲忋</span></label> </div> <input type="hidden" value="" name="arg_radio"> <span class="msg"></span> </dd> </dl> <dl class="remarks"> <dt class="title">旛峫</dt> <dd class="data"> <div class="wrap"> <textarea class="full" type="text" name="remarks" value="" placeholder=""></textarea> </div> </dd> </dl> </div> <div 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