URL:    [ Dan Winchester Home ] [ View Source Home ] 
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Date: Mon, 22 Mar 2010 11:43:35 GMT
Server: Apache
Last-Modified: Wed, 17 Mar 2010 13:25:47 GMT
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                  <br>
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                        <td width="40" height="41"><img src="../img/spacer.gif" width="40" height="41"></td>
                            <td><div align="center"> 
                                <table width="75%" border="0" cellspacing="0" cellpadding="0">
                                  <tr>
                                    <td><span class="style10">スロースタイルジムへのお問合せ・資料請求は、 
                                      お電話(<strong>03-3447-2571</strong>)<br>
                                      または下記フォームよりお願いいたします。</span><br>
                                      <span class="style10">(取材申込み、監修依頼等のお問合せは、<a href="mailto:pr@slowstylegym.com">pr@slowstylegym.com</a>宛てにご連絡ください。)</span></td>
                                  </tr>
                                </table>
                                <br>
                                <form name="form1" method="post" action="./postmail.cgi"><br>
<input type=hidden name="need" value="お問合せ項目">

                                  <table width="100%"  border="0" cellspacing="0" cellpadding="0">
                                    <tr> 
                                      <td width="40" height="41"><img src="../img/spacer.gif" width="40" height="41"></td>
                                      <td> 
										<table width="100%"  border="0" cellspacing="0" cellpadding="5">
                                          <tr> 
                                            <td height="5" colspan="2"><img src="../img/link/dot_line.gif" width="100%" height="5"></td>
										  </tr>
                                          <tr> 
                                            <td width="25%" ><span class="style3">お問合せ項目</span><span class="style4">(※必須)</span></td>
											<td width="75%">
											  <input type="radio" name="お問合せ項目" value="見学希望">
											   
                                              <span class="style10"> 見学希望</span> 
                                                
                                              <input type="radio" name="お問合せ項目" value="資料請求">
											   
                                              <span class="style10"> 資料請求   
                                              <input type="radio" name="お問合せ項目" value="お問合せ">
                                              お問合せ    
                                              <input type="radio" name="お問合せ項目" value="ご意見・ご要望">
                                              ご意見・ご要望</span></td>
										  </tr>
                                          <tr> 
                                            <td colspan="2"><img src="../img/link/dot_line.gif" width="100%" height="5"></td>
										  </tr>
                                          <tr> 
                                            <td width="25%"><span class="style3">お名前</span><span class="style4">(※必須)</span></td>
											<td width="75%">
											  <input name="_お名前" type="text" id="_お名前" size="40" maxlength="40">
                                              <span class="style4">※全角文字でご記入ください</span></td>
										  </tr>
                                          <tr> 
                                            <td colspan="2"><img src="../img/link/dot_line.gif" width="100%" height="5"></td>
										  </tr>
                                          <tr> 
                                            <td width="25%"><span class="style3">フリガナ</span><span class="style4">(※必須)</span></td>
											<td width="75%">
											  <input name="_フリガナ" type="text" id="_フリガナ" size="40" maxlength="40">
                                            </td>
										  </tr>
                                          <tr> 
                                            <td colspan="2"><img src="../img/link/dot_line.gif" width="100%" height="5"></td>
										  </tr>
                                          <tr> 
                                            <td width="25%"><span class="style3">メールアドレス</span><span class="style4">(※必須)</span></td>
											<td width="75%">
											  <input name="_email" type="text" id="_email" size="40" maxlength="40">
                                              <span class="style4">※半角英数字でご記入ください</span></td>
										  </tr>
                                          <tr> 
                                            <td colspan="2"><img src="../img/link/dot_line.gif" width="100%" height="5"></td>
										  </tr>
                                          <tr> 
                                            <td width="25%" class="style3">お電話番号</td>
											<td width="75%">
											  <input name="お電話番号" type="text" id="お電話番号" size="40" maxlength="40">
                                              <span class="style4">※半角英数字でご記入ください</span></td>
										  </tr>
                                          <tr> 
                                            <td colspan="2"><img src="../img/link/dot_line.gif" width="100%" height="5"></td>
										  </tr>
                                          <tr> 
                                            <td width="25%" valign="top" class="style3">ご住所<br>
											   
                                            </td>
											<td width="75%" rowspan="2" valign="top"> 
                                              〒 
                                              <input name="〒" type="text" id="〒" size="10" maxlength="10">
											   
                                              <span class="style4">例:108-8612</span><br>
											   
                                              <br>
											   
											  <textarea name="ご住所" cols="60" rows="2" id="ご住所"></textarea>
                                            </td>
										  </tr>
                                          <tr> 
                                            <td class="style4">※資料請求の場合は住所を入力してください。 
                                              <br>
											</td>
										  </tr>
                                          <tr> 
                                            <td colspan="2"><img src="../img/link/dot_line.gif" width="100%" height="5"></td>
										  </tr>
										  <tr> 
                                            <td valign="top" class="style3"><strong>当ジムを知った<br>
											  きっかけ</strong></td>
											<td>
											  <span class="style10">
											  </span>
											  <table border="0" cellspacing="0" cellpadding="0">
												<tr>
												  <td colspan="10" class="style10"><font color="#669966"><新聞折込広告></font></td>
												</tr>
												<tr>
												  <td><span class="style10">
													<input type="radio" name="当ジムを知ったきっかけ" value="新聞折込広告・日経新聞">
													</span></td>
												  <td class="style10">日経新聞 </td>
												  <td><span class="style10">
													<input type="radio" name="当ジムを知ったきっかけ" value="新聞折込広告・朝日新聞">
													</span></td>
												  <td class="style10">朝日新聞 </td>
												  <td><span class="style10">
													<input type="radio" name="当ジムを知ったきっかけ" value="新聞折込広告・読売新聞">
													</span></td>
												  <td class="style10">読売新聞 </td>
												  <td><span class="style10">
													<input type="radio" name="当ジムを知ったきっかけ" value="新聞折込広告・毎日新聞">
													</span></td>
												  <td class="style10">毎日新聞 </td>
												  <td><span class="style10">
													<input type="radio" name="当ジムを知ったきっかけ" value="新聞折込広告・その他">
													</span></td>
												  <td class="style10">その他 </td>
												</tr>
											  </table>
											  <table border="0" cellspacing="0" cellpadding="0">
												<tr>
												  <td height="5" colspan="8"><img src="../img/spacer.gif" width="1" height="1"></td>
												</tr>
												<tr>
												  <td height="5" colspan="8" background="../img/link/dot_line.gif"><img src="../img/spacer.gif" width="1" height="1"></td>
												</tr>
												<tr>
												  <td height="5" colspan="8"><img src="../img/spacer.gif" width="1" height="1"></td>
												</tr>
												<tr>
												  <td width="10"><span class="style10">
													<input type="radio" name="当ジムを知ったきっかけ" value="グランドプリンスホテル高輪・タブロイド紙">
													
													</span></td>
												  <td><span class="style10">グランドプリンスホテル高輪・タブロイド紙 													
</span></td>
												  <td width="10"><span class="style10">
													<input type="radio" name="当ジムを知ったきっかけ" value="ホームページ">
													
													</span></td>
												  <td><span class="style10">
											   
                                               ホームページ </span></td>
												  <td width="10"><span class="style10">
													<input type="radio" name="当ジムを知ったきっかけ" value="雑誌">
													</span></td>
												  <td><span class="style10">雑誌 </span></td>
												  <td width="10"><span class="style10">
													<input type="radio" name="当ジムを知ったきっかけ" value="テレビ">
													
													
													</span></td>
												  <td><span class="style10">テレビ</span></td>
												</tr>
												
												
												<tr>
												  <td height="5" colspan="8"><img src="../img/spacer.gif" width="1" height="1"></td>
												</tr>
												<tr>
												  <td width="10"><span class="style10">
													<input type="radio" name="当ジムを知ったきっかけ" value="ザ・プリンスさくらタワー東京サウナ会員">
													
													
													</span></td>
												  <td><span class="style10">ザ・プリンスさくらタワー東京会員  <br>
													</span></td>
												  <td width="10"><span class="style10">
													<input type="radio" name="当ジムを知ったきっかけ" value="ご紹介">
													
													
													
													
													</span></td>
												  <td><span class="style10">ご紹介</span></td>
												  <td width="10"><span class="style10">
													<input type="radio" name="当ジムを知ったきっかけ" value="asahi.comどらくサイト">
													
													</span></td>
												  <td colspan="3"><span class="style10">asahi.comどらくサイト
													
													
													
													</span></td>
												</tr>
												
												<tr>
												  <td height="5" colspan="8"><img src="../img/spacer.gif" width="1" height="1"></td>
												</tr>
												<tr>
												  <td width="10"><span class="style10">
													<input type="radio" name="当ジムを知ったきっかけ" value="その他">
													</span></td>
												  <td colspan="7"><span class="style10">その他(
													<input name="当ジムを知ったきっかけ・その他" type="text" id="当ジムを知ったきっかけ・その他" size="25" maxlength="40">
													)</span></td>
												</tr>
												<tr>
												  <td height="5" colspan="8"><img src="../img/spacer.gif" width="1" height="1"></td>
												</tr>
												<tr>
												  <td height="5" colspan="8" background="../img/link/dot_line.gif"><img src="../img/spacer.gif" width="1" height="1"></td>
												</tr>
												<tr>
												  <td height="5" colspan="8"><img src="../img/spacer.gif" width="1" height="1"></td>
												</tr>
												
												
											  </table>
											  <table border="0" cellspacing="0" cellpadding="0">
												<tr>
												  <td colspan="8" class="style10"><font color="#669966"><検索サイト></font></td>
												</tr>
												<tr>
												  <td><span class="style10">
													<input type="radio" name="当ジムを知ったきっかけ" value="検索サイト・Yahoo!">
													</span></td>
												  <td class="style10">Yahoo! </td>
												  <td><span class="style10">
													<input type="radio" name="当ジムを知ったきっかけ" value="検索サイト・Google">
													</span></td>
												  <td class="style10">Google </td>
												  <td><span class="style10">
													<input type="radio" name="当ジムを知ったきっかけ" value="検索サイト・MSN">
													</span></td>
												  <td class="style10">MSN </td>
												  <td><span class="style10">
													<input type="radio" name="当ジムを知ったきっかけ" value="検索サイト・その他">
													</span></td>
												  <td class="style10">その他<span class="style10">(
													<input name="当ジムを知ったきっかけ・その他検索サイト" type="text" id="当ジムを知ったきっかけ・その他検索サイト" size="15" maxlength="40">
													)</span></td>
												</tr>
											  </table>
											</td>
										  </tr>
										  <tr> 
                                            <td colspan="2"><img src="../img/link/dot_line.gif" width="100%" height="5"></td>
										  </tr>
                                          <tr> 
                                            <td width="25%" class="style3"><strong>お問合せ</strong>内容</td>
											<td width="75%">
											  <textarea name="内容" cols="60" rows="5" id="内容"></textarea>
                                            </td>
										  </tr>
                                          <tr> 
                                            <td colspan="2"><img src="../img/link/dot_line.gif" width="100%" height="5"></td>
										  </tr>
                                          <tr> 
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