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<title>ベビーズブレス/パスワードを忘れた方(入力ページ)</title>
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<p>JavaScriptを有効にしてご利用下さい</p>
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<div id="box">
<h1>パスワードを忘れた方</h1>
<p class="t10 b10">ご登録時のメールアドレスを入力して「次へ」ボタンをクリックしてください。<br />
<span class="orange">※新しくパスワードを発行いたしますので、お忘れになったパスワードはご利用できなくなります。</span></p>
<form action="/forgot/index.php" method="post" name="form1">
<input type="hidden" name="mode" value="mail_check" />
<p>メールアドレス： <input type="text" name="email" value="" size="40" style="; ime-mode: disabled;" /><br />
<span class="orange"></span></p>
<p class="t10 orange"><input type="image" onmouseover="chgImgImageSubmit('/user_data/packages/babyb/images/b_next_h.gif',this)" onmouseout="chgImgImageSubmit('/user_data/packages/babyb/images/b_next.gif',this)" src="/user_data/packages/babyb/images/b_next.gif" alt="次へ" name="next" id="next" /></p>
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