	<link rel="stylesheet" type="text/css" href="/stock/bootstrap-3.3.7-dist/css/bootstrap_custom.css" />
	<link rel="stylesheet" type="text/css" href="/stock/contact/style/css/local.css" />
	<script type="text/javascript" src="/stock/js/jquery-1.4.2.min.js"></script>
	<script type="text/javascript" src="/stock/contact/style/js/local.js"></script>

	<section class="sec sec-history bg-bk">
		

		<div class="naviation-bar cf" id="pan">
			<ul>
				<li class="cl1">
					<div><span class="flow-area-hover">&nbsp;入力&nbsp;</span></div>
					<span class="arrow"></span></li>
				<li class="cl2">
					<div><span class="flow-area">&nbsp;確認&nbsp;</span></div>
					<span class="arrow"></span></li>
				<li class="cl1">
					<div><span class="flow-area">&nbsp;完了&nbsp;</span></div>
				</li>
			</ul>
		</div>


		<section class="contact-form-wrap">

			<form action="./#pan" method="post" name="form1" id="form1" accept-charset="UTF-8">
				<table class="contact">
					<tr>
						<th>お問い合わせ内容</th>
						<td>
							<select name="user_item">
								<option value=''>選択してください</option><option value='1'>在庫確認</option><option value='2'>見積り依頼</option><option value='3'>両方</option>							</select>

						</td>
					</tr>
					<tr>
						<th>お名前<br/>※匿名可<br/><span class="icon hissu">必須</span></th>
						<td><input type="text" name="user_name" value=""/>　<span class="sample-txt">例） 山田 太郎</span><span id="user_name_request_msg" class="console hide">●入力してください</span></td>
					</tr>
					<tr>
						<th>フリガナ<br/><span class="icon nini">任意</span></th>
						<td><input type="text" name="user_kana" value=""/>　<span class="sample-txt">例） ヤマダ タロウ</span></td>
					</tr>
					<tr>
						<th>ご住所<br/><span class="icon nini">任意</span></th>
						<td>
							<select name="user_pref">
								<option value=''>選択してください</option><option value='1'>北海道</option><option value='2'>青森県</option><option value='3'>岩手県</option><option value='4'>宮城県</option><option value='5'>秋田県</option><option value='6'>山形県</option><option value='7'>福島県</option><option value='8'>茨城県</option><option value='9'>栃木県</option><option value='10'>群馬県</option><option value='11'>埼玉県</option><option value='12'>千葉県</option><option value='13'>東京都</option><option value='14'>神奈川県</option><option value='15'>山梨県</option><option value='16'>長野県</option><option value='17'>新潟県</option><option value='18'>富山県</option><option value='19'>石川県</option><option value='20'>福井県</option><option value='21'>岐阜県</option><option value='22'>静岡県</option><option value='23'>愛知県</option><option value='24'>三重県</option><option value='25'>滋賀県</option><option value='26'>京都府</option><option value='27'>大阪府</option><option value='28'>兵庫県</option><option value='29'>奈良県</option><option value='30'>和歌山県</option><option value='31'>鳥取県</option><option value='32'>島根県</option><option value='33'>岡山県</option><option value='34'>広島県</option><option value='35'>山口県</option><option value='36'>徳島県</option><option value='37'>香川県</option><option value='38'>愛媛県</option><option value='39'>高知県</option><option value='40'>福岡県</option><option value='41'>佐賀県</option><option value='42'>長崎県</option><option value='43'>熊本県</option><option value='44'>大分県</option><option value='45'>宮崎県</option><option value='46'>鹿児島県</option><option value='47'>沖縄県</option>							</select><span class="sample-txt">　例） 東京都</span><br/><br/>
							<input type="text" name="user_add" value=""/><span class="sample-txt">　例） 新宿区西新宿1-1-1</span>
						</td>
					</tr>
					<tr>
						<th>メールアドレス<br/><span class="icon hissu">必須</span></th>
						<td><input type="email" name="user_mail" value=""/>
							<span class="sample-txt">例） sample@sample.jp</span><span id="user_mail_request_msg" class="console hide">●入力してください</span><span id="user_mail_format_msg" class="console hide">●メールアドレスの形式が正しくありません。</span></td>
					</tr>
					<tr>
						<th>電話番号<br/><span class="icon nini">任意</span></th>
						<td><input type="tel" name="user_tel" value=""/>
							<span class="sample-txt">例） 03-1234-5678</span></td>
					</tr>
					<tr>

					<tr>
						<th>ご購入時期<br/><span class="icon hissu">必須</span></th>
						<td>
							<select name="user_time">
								<option value=''>選択してください</option><option value='1'>近日中</option><option value='2'>1ヶ月以内</option><option value='3'>3ヶ月以内</option>							</select>
							<span id="user_time_request_msg" class="console hide">●選択してください</span>						</td>
					</tr>

					<tr>
						<th>ご希望連絡方法<br/><span class="icon hissu">必須</span></th>
						<td>
							<select name="user_how">
								<option value=''>選択してください</option><option value='1'>どちらでもよい</option><option value='2'>メールのみ</option><option value='3'>電話のみ</option>							</select>
							<span id="user_how_request_msg" class="console hide">●選択してください</span>						</td>
					</tr>


					<th>メッセージ<br/><span class="icon hissu">必須</span></th>
					<td>
						<textarea name="user_comment"/></textarea>
						<span id="user_comment_request_msg" class="console hide">●入力してください</span>					</td>
					</tr>

				</table>
				<div id="contact-btn">
					<button name="reg" class="btn" type="submit">次へ</button>
				</div>

				<input type="hidden" name="r_corp" value="">
				<input type="hidden" name="r_shop" value="">
				<input type="hidden" name="r_car" value="">

			</form>
		</section>
	</section>
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