<title>Contact</title>
<link href="https://ssl.form-mailer.jp/fm/common/css/style_form_theme_template_1.css" rel="stylesheet">
<script src="https://ssl.form-mailer.jp/fm/common/js/vender/jquery/jquery-3.2.1.min.js"></script>
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<script src="https://ssl.form-mailer.jp/fm/common/js/apps/forms.js" charset="Shift_JIS"></script>
<div class="container-fluid">
<div class="contents form-fieldset-position-row efo-off">
<form action="https://ssl.form-mailer.jp/fm/service/Forms/confirm" method="post" name="form1" enctype="multipart/form-data" class="formmailer-form" data-max-total-filesize="0" accept-charset="UTF-8" novalidate>
<input type="hidden" name="key" value="ef4c4400730300">
<h1 class="form-title">Contact</h1>
<hr />
<!-- text -->
<div class="form-fieldset form-fieldset-text optional" data-ng-words="[]">
<legend>お名前</legend>
<div class="form-group form-fieldgroup">
<input class="form-control" name="field_6315388" type="text" value="" size="30" data-pattern="1" autocapitalize="off" >
<div class="invalid-feedback"></div>
</div>
</div>
<!-- email -->
<div class="form-fieldset form-fieldset-email optional" data-ng-words="[]">
<legend>メールアドレス</legend>
<div class="form-group">
<div class="form-row">
<div class="col-12 form-fieldgroup">
<input class="form-control form-email" name="field_6315382" type="email" id="field_6315382" size="30" placeholder="info@example.com" autocapitalize="off" >
<div class="invalid-feedback"></div>
</div>
</div>
</div>
</div>
<!-- textarea -->
<div class="form-fieldset form-fieldset-textarea required" data-ng-words="[]">
<legend>問い合わせ内容</legend>
<div class="form-group form-fieldgroup">
<textarea class="form-control" name="field_6315389" cols="30" rows="5" data-pattern="1" autocapitalize="off" required ></textarea>
<div class="invalid-feedback"></div>
</div>
</div>
<div class="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="code" value="utf8">
</form>
</div>
<div class="powered">
<a class="logo-powered" href="https://www.form-mailer.jp/?utm_source=https://ssl.form-mailer.jp/fms/ef4c4400730300&utm_medium=ownedmedia&utm_campaign=powered-by-formmailer" target="_blank">
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