Showing source for: https://smi-re.jp/contact/index.php?name=ASY&url=https://news.google.com.ai/__i/rss/rd/articles/CBMiGWh0dHBzOi8vcGFjZGVwcmViaWNvLm9yZy_SAQA=
Duration: 1.469433s
Server: nginx

<!DOCTYPE html PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN" "http://www.w3.org/TR/html4/loose.dtd">
<html lang="ja" style="-webkit-text-size-adjust:none;" xmlns="http://www.w3.org/1999/xhtml">
    <head>
        <meta content="text/html; charset=utf-8" http-equiv="Content-Type">
        <title>
   お問い合わせ
        </title>
        <link href="/css/contact.css" rel="stylesheet" type="text/css">
    </head>
    <body>
        <div id="wrap">
            <h1>
                物件へのお問い合わせ
            </h1>
            <p class="message">
                <span class="red">
                    *
                </span>
                印は必須入力となっております。通常5営業日以内に返信しておりますが、もしそれ以降返信がない場合はお手数ですがもう一度ご送信頂くか03-5309-2101までお電話ください。
            </p>
            <div id="formbox">
                <form action="zeromail.php" enctype="multipart/form-data" method="post">
                    <table class="contact">
                        <tbody>
                            <tr>
                                <th>
                                    お名前
                                    <span class="red">
                                        &nbsp;*
                                    </span>
                                </th>
                                <td>
                                    <input class="form_txt1" name="name_req" type="text">
                                </td>
                            </tr>
                            <tr>
                                <th>
                                    メールアドレス
                                    <span class="red">
                                        &nbsp;*
                                    </span>
                                </th>
                                <td>
                                    <input class="form_txt1" name="email_req" type="text">
                                </td>
                            </tr>
                            <tr>
                                <th>
                                    電話番号
                                </th>
                                <td>
                                    <input class="form_txt1" name="tel" type="text">
                                </td>
                            </tr>
                            <tr>
                                <th>
                                    物件名
                                </th>
                                <td>
                                    ASY
                                    <input name="bukken" type="hidden" value="ASY">
                                </td>
                            </tr>
                            <tr>
                                <th>
                                    物件URL
                                </th>
                                <td>
                                    <a href="https://news.google.com.ai/__i/rss/rd/articles/CBMiGWh0dHBzOi8vcGFjZGVwcmViaWNvLm9yZy_SAQA=" target="_blank">
                                        https://news.google.com.ai/__i/rss/rd/articles/CBMiGWh0dHBzOi8vcGFjZGVwcmViaWNvLm9yZy_SAQA=
                                    </a>
                                    <input name="url" type="hidden" value="https://news.google.com.ai/__i/rss/rd/articles/CBMiGWh0dHBzOi8vcGFjZGVwcmViaWNvLm9yZy_SAQA=">
                                </td>
                            </tr>
                            <tr>
                                <th>
                                    お問い合わせの種類
                                </th>
                                <td>
                                    <input name="require" type="hidden" value="point">
                                    <input checked="" id="g1" name="point" type="radio" value="入居のお申し込み">
                                    <label for="g1">
                                        入居のお申し込み
                                    </label>
                                    <input id="g2" name="point" type="radio" value="内見のお申し込み">
                                    <label for="g2">
                                        内見のお申し込み
                                    </label>
                                    <input id="g3" name="point" type="radio" value="ご質問・お問い合わせ">
                                    <label for="g3">
                                        ご質問・お問い合わせ
                                    </label>
                                </td>
                            </tr>
                            <tr>
                                <th>
                                    備考・ご質問内容
                                </th>
                                <td>
                                    <textarea class="form_txt3" name="contact"></textarea>
                                </td>
                            </tr>
                        </tbody>
                    </table>
                    <p>
                        <input class="submit1" type="submit" value="送信内容を確認する">
                    </p>
                </form>
            </div>
        </div>
    </body>
</html>

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