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8 9 <link href="theme.css" rel="stylesheet" type="text/css" media="screen, all" /> 10 11</head> 12 13<body> 14<div><form method="post" action="/web/contact2/index.php"> 15<input type="hidden" name="_action" value="confirm" /> 16<input type="hidden" name="_encoding_check_string" value="京" /> 17<!-- <table width="600" border="0" align="center" cellpadding="0" cellspacing="0" class="fontkihon">--> 18<p></p> 19 <table width="750" border="0" align="center" cellpadding="3" cellspacing="1" style="font-size:12px; line-height:2;" bgcolor="#FFFFFF"> 20 <tr> 21 <td> 22 <tr> 23 <th colspan="2"><h1>ç¥å¤§çåï½ãåãåãããã©ã¼ã </h1></th> 24 </tr> 25 </td> 26 <td> 27 <tr> 28 <td colspan="2"> 29 ç¥å¤§çåã®ãåãåãããã©ã¼ã ã§ããå¿ è¦äºé ãå ¥åã®ä¸ãéä¿¡ãã¦ãã ããã 30 </td> 31 </tr> 32 </td> 33 </tr> 34 35 <tr> 36 <th width="150">ãåå</th> 37 <td align="left"> 38 <input id="name" type="text" name="name" value="" class="box200" />ã 39 </td> 40 </tr> 41 <tr> 42 <th>ããªã¬ã<br></th> 43 <td align="left"> 44 <input id="name_kana" type="text" name="name_kana" value="" class="box200" />ã 45 </td> 46 </tr> 47 <tr> 48 <th>æ§å¥</th> 49 <td align="left"> 50 <input id="sex_36a4908a557796858a347c063a73ce60" type="radio" name="sex" value="ç·" />ç· 51 <input id="sex_87c835a6b1749374a7524a596087b296" type="radio" name="sex" value="女" checked="checked" />女 52 </td> 53 54 </td> 55 </tr> 56 <tr> 57 <th>å¦ç±çªå·ï¼9æ¡ï¼</th> 58 <td align="left"> 59 <input id="student_number" type="text" name="student_number" value="" class="box200" />ã 60 </td> 61 </tr> 62 <tr> 63 <th>çµåå¡çªå·ï¼8æ¡ï¼</th> 64 <td align="left"> 65 <input id="member_number" type="text" name="member_number" value="" class="box200" />ã 66 </td> 67 </tr> 68 <tr> 69 <th>ã¡ã¼ã«ã¢ãã¬ã¹</th> 70 <td align="left"> 71 <input id="email" type="text" name="email" value="" class="box200" />ã 72 â»ç¥å¤§çã¯ãç¥å¤§ã¡ã¼ã«ã®ã¢ãã¬ã¹ãå ¥åãã¦ãã ããã 73 </td> 74 </tr> 75 <tr> 76 <th>å¦ç§</th> 77 <td align="left"> 78 <select id="select1" name="select1" ><option value="ä¸æ" selected="selected">ä¸æ</option> 79<option value="æ³å¾å¦ç§" >æ³å¾å¦ç§</option> 80<option value="èªæ²»è¡æ¿å¦ç§" >èªæ²»è¡æ¿å¦ç§</option> 81<option value="çµæ¸å¦ç§" >çµæ¸å¦ç§</option> 82<option value="ç¾ä»£ãã¸ãã¹å¦ç§" >ç¾ä»£ãã¸ãã¹å¦ç§</option> 83<option value="è±èªè±æå¦ç§" >è±èªè±æå¦ç§</option> 84<option value="ã¹ãã¤ã³èªå¦ç§" >ã¹ãã¤ã³èªå¦ç§</option> 85<option value="ä¸å½èªå¦ç§" >ä¸å½èªå¦ç§</option> 86<option value="å½éæå交æµå¦ç§" >å½éæå交æµå¦ç§</option> 87<option value="æ¥æ¬æåå¦ç§" >æ¥æ¬æåå¦ç§</option> 88<option value="æ´å²æ°ä¿å¦ç§" >æ´å²æ°ä¿å¦ç§</option> 89<option value="ç·åå·¥å¦ããã°ã©ã " >ç·åå·¥å¦ããã°ã©ã </option> 90<option value="æ©æ¢°å·¥å¦ç§" >æ©æ¢°å·¥å¦ç§</option> 91<option value="é»æ°é»åæ å ±å·¥å¦ç§" >é»æ°é»åæ å ±å·¥å¦ç§</option> 92<option value="ç©è³ªçå½åå¦ç§" >ç©è³ªçå½åå¦ç§</option> 93<option value="æ å ±ã·ã¹ãã åµæå¦ç§" >æ å ±ã·ã¹ãã åµæå¦ç§</option> 94<option value="çµå¶å·¥å¦ç§" >çµå¶å·¥å¦ç§</option> 95<option value="建ç¯å¦ç§" >建ç¯å¦ç§</option> 96<option value="人éç§å¦ç§" >人éç§å¦ç§</option> 97<option value="ç·åçå¦ããã°ã©ã " >ç·åçå¦ããã°ã©ã </option> 98<option value="æ å ±ç§å¦ç§" >æ å ±ç§å¦ç§</option> 99<option value="åå¦ç§" >åå¦ç§</option> 100<option value="çç©ç§å¦ç§" >çç©ç§å¦ç§</option> 101<option value="æ°çã»ç©çå¦ç§" >æ°çã»ç©çå¦ç§</option> 102<option value="å½éçµå¶å¦ç§" >å½éçµå¶å¦ç§</option> 103<option value="ãã®ä»" >ãã®ä»</option> 104</select></td> 105 </tr> 106 <tr> 107 <th>é»è©±çªå·<br></th> 108 <td align="left"> 109 <input id="tel" type="text" name="tel" value="" class="box200" />ãï¼å ¥åä¾ï¼045-481-5688ï¼ 110 </td> 111 </tr> 112 <tr> 113 <th>ãååããå 容<em class="attention">â»</em><br />ï¼å ¨è§1000å以ä¸ï¼</th> 114 <td align="left"> 115 <textarea id="body" name="body" class="area380"></textarea> </td> 116 </tr> 117 <tr align="center"> 118 <td colspan="2"> 119 <input type="submit" name="_submit" value="å 容確èªã¸" /><br><br></td> 120 </tr> 121 </table> 122</form> 123</div> 124<p align="center">2005-2013 Kanagawa University COOP. All Rights Reserved.</p> 125</body> 126</html>
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