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test.html
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<!DOCTYPE html>
<!--[if lt IE 7]> <html class="no-js lt-ie9 lt-ie8 lt-ie7"> <![endif]-->
<!--[if IE 7]> <html class="no-js lt-ie9 lt-ie8"> <![endif]-->
<!--[if IE 8]> <html class="no-js lt-ie9"> <![endif]-->
<!--[if gt IE 8]><!--> <html class="no-js"> <!--<![endif]-->
<head>
<meta charset="utf-8">
<title></title>
<meta name="description" content="">
<meta name="format-detection" content="telephone=no">
<meta name="viewport" content="width=device-width, user-scalable=no, initial-scale=1, maximum-scale=1">
<link rel="stylesheet" href="common/css/style.css">
<script src="common/js/vendor/modernizr-2.6.2.min.js"></script>
<script src="//ajax.googleapis.com/ajax/libs/jquery/1.9.1/jquery.min.js"></script>
<script>window.jQuery || document.write('<script src="common/js/vendor/jquery-1.9.1.min.js"><\/script>')</script>
<script src="common/js/vendor/jquery.carouFredSel-6.2.1.js"></script>
<script src="common/js/vendor/scrollsmoothly.js"></script>
<script src="common/js/vendor/jquery.tile.min.js"></script>
<script src="common/js/main.js"></script>
</head>
<body id="pagetop" class="about">
<header id="area_header">
<div class="mod_header">
<h1><img src="common/img/toplogo.jpg" width="184" height="90" alt="コワーキング協同組合"></h1>
<nav class="mod_header_nav">
<h1 class="navtitle"><a class="open" href="#nav">MENU</a></h1>
<ul class="nav">
<li class="nav-selected nav-path-selected"><a href="/index.php/about/" target="_self" class="nav-selected nav-path-selected">Vision</a>
<ul>
<li class=""><a href="/index.php/about/coworking/" target="_self" class="">コワーキングとは</a></li>
<li class=""><a href="/index.php/about/coop/" target="_self" class="">組合について</a></li>
<li class=""><a href="/index.php/about/outline/" target="_self" class="">組合概要</a></li>
<li class=""><a href="/index.php/about/joinus/" target="_self" class="">入会案内</a></li>
<li class=""><a href="/index.php/about/entryform/" target="_self" class="">新規組合員お申し込み</a></li>
<li class=""><a href="/index.php/about/faq/" target="_self" class="">よくある質問</a></li>
</ul>
</li>
<li class=""><a href="/index.php/blog/" target="_self" class="">ブログ</a>
<ul>
<li class=""><a href="/index.php/blog/hello-world/" target="_self" class="">Hello World</a></li>
</ul>
</li>
<li class=""><a href="/index.php/search/" target="_self" class="">検索</a></li>
</ul>
<ul><li class="navtitle"><a href="#pagetop">メニューを閉じる</a></li></ul>
<!--mod_header_nav_end--></nav>
<!--mod_header_end--></div>
<!--area_header_end--></header>
<article id="area_main">
<header class="mod_pageheader ex_clearfix">
<h1><span>About</span><strong>コワーキング協同組合について</strong></h1>
<!--mod_pageheader_end--></header>
<div class="mod_breadcrumbs">
<ul class="nav"><li class=""><a class="" target="_self" href="/">ホーム</a></li><li class="nav-path-selected"><a class="nav-path-selected" target="_self" href="/index.php/about/">Vision</a><ul><li class="nav-selected nav-path-selected"><a class="nav-selected nav-path-selected" target="_self" href="/index.php/about/entryform/">entryform</a></li></ul></li></ul><!-- mod_breadcrumbs_end --></div>
<section class="mod_pagecontents">
<h1 class="pagetitle">新規組合員お申し込み</h1>
<section class="mod_pagecontents_sec ex_clearfix">
<h1 class="sectitle">お申し込みフォーム</h1>
<p><strong>この度はご加入いただき、誠にありがとうございます。<br>
個人情報の取り扱いに同意の上、入力内容の確認画面へお進みください。</strong></p>
<form enctype="multipart/form-data" id="miniSurveyView102" class="miniSurveyView" method="post" action="/index.php?cID=160&bID=102&arHandle=Main&ccm_token=1373096476:4e51ab3a659644528384e011300b77a2&btask=passthru&method=submit_form#1373095706">
<input name="qsID" type="hidden" value="1373095706" />
<table class="formBlockSurveyTable"><tr>
<td valign="top" class="question"><label for="Question9">法人名・屋号</label></td>
<td valign="top"><input name="Question9" id="Question9" type="text" value="" /></td>
</tr><tr>
<td valign="top" class="question"><label for="Question10">代表者名 <span class="required">*</span></label></td>
<td valign="top"><input name="Question10" id="Question10" type="text" value="" /></td>
</tr><tr>
<td valign="top" class="question"><label for="Question11">代表者名（フリガナ） <span class="required">*</span></label></td>
<td valign="top"><input name="Question11" id="Question11" type="text" value="" /></td>
</tr><tr>
<td valign="top" class="question"><label for="Question12">コワーキング・スペース名</label></td>
<td valign="top"><input name="Question12" id="Question12" type="text" value="" /></td>
</tr><tr>
<td valign="top" class="question"><label for="Question23">会員種別 <span class="required">*</span></label></td>
<td valign="top"><div class="radioPair"><input name="Question23" type="radio" value="組合員" /> 組合員</div><div class="radioPair"><input name="Question23" type="radio" value="賛助会員" /> 賛助会員</div></td>
</tr><tr>
<td valign="top" class="question"><label for="Question13">事業形態 <span class="required">*</span></label></td>
<td valign="top"><div class="radioPair"><input name="Question13" type="radio" value="個人" /> 個人</div><div class="radioPair"><input name="Question13" type="radio" value="法人" /> 法人</div></td>
</tr><tr>
<td valign="top" class="question"><label for="Question14">事業内容</label></td>
<td valign="top"><textarea name="Question14" id="Question14" cols="50" rows="3" style="width:95%"></textarea></td>
</tr><tr>
<td valign="top" class="question"><label for="Question15">事業所所在地 <span class="required">*</span></label></td>
<td valign="top"><input name="Question15" id="Question15" type="text" value="" /></td>
</tr><tr>
<td valign="top" class="question"><label for="Question16">電話番号 <span class="required">*</span></label></td>
<td valign="top"><input name="Question16" id="Question16" type="tel" value="" /></td>
</tr><tr>
<td valign="top" class="question"><label for="Question17">FAX番号</label></td>
<td valign="top"><input name="Question17" id="Question17" type="text" value="" /></td>
</tr><tr>
<td valign="top" class="question"><label for="Question18">メールアドレス <span class="required">*</span></label></td>
<td valign="top"><input name="Question18" id="Question18" type="email" value="" /></td>
</tr><tr>
<td valign="top" class="question"><label for="Question19">ウェブサイトURL</label></td>
<td valign="top"><input name="Question19" id="Question19" type="url" value="" /></td>
</tr><tr>
<td valign="top" class="question"><label for="Question20">ご希望のアカウントID <span class="required">*</span></label></td>
<td valign="top"><input name="Question20" id="Question20" type="text" value="" /></td>
</tr><tr>
<td valign="top" class="question"><label for="Question24">定款 <span class="required">*</span></label></td>
<td valign="top"><div class="checkboxList">
<div class="checkboxPair"><input name="Question24_0" type="checkbox" value="コワーキング協同組合定款を読んで確認しました" /> コワーキング協同組合定款を読んで確認しました</div>
</div></td>
</tr><tr>
<td valign="top" class="question"><label for="Question21">出資金の口数 <span class="required">*</span></label></td>
<td valign="top"><input name="Question21" id="Question21" type="text" value="" /></td>
</tr><tr>
<td valign="top" class="question"><label for="Question22">メッセージなど</label></td>
<td valign="top"><textarea name="Question22" id="Question22" cols="50" rows="3" style="width:95%"></textarea></td>
</tr><tr><td> </td><td><input class="formBlockSubmitButton ccm-input-button" name="Submit" type="submit" value="送信" /></td></tr></table>
</form>
<!--mod_pagecontents_sec_end--></section>
<!--mod_contents_end--></section>
<footer class="mod_mainfooter">
<p class="lead">コワーキング協同組合は、新しい働き方で社会、暮らしを豊かなものにかえていきます。</p>
<p class="pagetop"><a class="smoothScroll" href="#pagetop"><img src="common/img/pagetop.gif" width="100" height="48" alt="ページの上部へ戻る"></a></p>
</footer>
<!--area_main_end--></article>
<footer id="area_footer">
<div class="mod_footer">
<nav class="mod_footernav ex_clearfix">
<h1 class="footernavtitle"><img src="common/img/footerlogo.gif" width="191" height="125" alt="コワーキング協同組合"></h1>
<div class="mod_footernav_block">
<section>
<h1><a href="about.html">コワーキング協同組合について</a></h1>
<ul>
<li><a href="#">Vision</a></li>
<li><a href="#">コワーキングとは</a></li>
<li><a href="#">組合概要</a></li>
<li><a href="#">入会案内</a></li>
<li><a href="#">加入お申し込み</a></li>
<li><a href="#">よくある質問</a></li>
</ul>
</section>
<!--mod_footernav_block_end--></div>
<div class="mod_footernav_block">
<section>
<h1><a href="#">インフォメーション</a></h1>
<ul>
<li><a href="#">イベント一覧</a></li>
<li><a href="#">お知らせ一覧</a></li>
</ul>
</section>
<section class="even">
<h1><a href="#">コワーキングスペースの紹介</a></h1>
<ul>
<li><a href="#">コワーキングスペース一覧</a></li>
</ul>
</section>
<!--mod_footernav_block_end--></div>
<div class="mod_footernav_block">
<section>
<h1><a href="#">コワーキングvisa.jp</a></h1>
<ul>
<li><a href="#">Visa.jpとは</a></li>
<li><a href="#">Visa.jp一覧</a></li>
</ul>
</section>
<section class="even">
<h1><a href="#">ブログ</a></h1>
<h1><a href="#">お問い合わせ</a></h1>
<h1><a href="#">プライバシー・ポリシー</a></h1>
</section>
<!--mod_footernav_block_end--></div>
<!--mod_footernav_end--></nav>
<div class="mod_relation ex_clearfix">
<ul class="ex_opaity">
<li><a href="https://www.facebook.com/bccjp.net"><img src="common/img/icon_fb.gif" width="36" height="35" alt="facebook"></a></li>
<li><a href="#"><img src="common/img/icon_twitter.gif" width="36" height="35" alt="Twitter"></a></li>
</ul>
<form action="/index.php/search/" method="get" class="ccm-search-block-form">
<h3>ページ内検索</h3>
<input name="search_paths[]" type="hidden" value="" />
<input name="query" type="text" value="ハンバーグ" class="ccm-search-block-text" />
<input name="submit" type="submit" value="検索" class="ccm-search-block-submit" />
</form>
<!-- mod_relation_end --></div>
<!--mod_footer_end--></div>
<!--area_footer_end--></footer>
</body>
</html>