HTTP/1.1 200 OK
Date: Tue, 06 Apr 2010 09:37:50 GMT
Server: Apache/1.3.34 (Unix) mod_ssl/2.8.25 OpenSSL/0.9.7i
Last-Modified: Tue, 16 Mar 2010 20:13:36 GMT
ETag: "1e239be-ced-4b9fe670"
Accept-Ranges: bytes
Content-Length: 3309
Connection: close
Content-Type: text/html
<HTML>
<HEAD>
<META HTTP-EQUIV="Content-Type" CONTENT="text/html;charset=shift_jis">
<TITLE>ƒpƒVƒtƒBƒbƒNƒXƒ^ƒbƒtŠ”Ž®‰ïŽÐ</TITLE>
</HEAD>
<BODY BGCOLOR="white" TEXT="black" LINK="#ff8000" VLINK="#ff8000">
<DIV ALIGN=CENTER>ƒGƒ“ƒgƒŠ[ƒtƒH[ƒ€<BR>
<HR SIZE=1 NOSHADE><BR></DIV>
<form method="post" action="entry.cgi">
yŽ–¼z<br>
<input name="name" type="text" size="40" maxlength="50"><br>
yŽ–¼ƒJƒiz<br>
<input name="name_f" type="text" size="40" maxlength="50"><br>
y«•Êz<br>
<input name="seibetu" type="radio" value="’j«">’j«
<input name="seibetu" type="radio" value="—«">—«<br>
y¶”NŒŽ“úz<br>
<input name="b_year" type="text" size="4" maxlength="4" istyle="4" MODE="numeric" >”N
<input name="b_month" type="text" size="2" maxlength="2" istyle="4" MODE="numeric">ŒŽ
<input name="b_day" type="text" size="2" maxlength="2" istyle="4" MODE="numeric">“ú<br>
yZŠz<br>
<input name="add1" type="text" size="40" maxlength="50"><br>
y“d˜b”Ô†z<br>
<input name="tel1" type="text" size="14" istyle="4" MODE="numeric"><br>
yŒg‘Ñe-mailz<br>
<input name="mail" type="text" size="40" maxlength="50" istyle="3" MODE="alphabet"><br>
yA‹Æ‰Â”\“úz<br>
<input name="start" type="text" size="40"><br>
yA‹Æ“à–óz<br>
<input type="checkbox" name="uchiwake1" value="’P”, ">’P”i`1ƒ–ŒŽj<br>
<input type="checkbox" name="uchiwake2" value="’ZŠú, ">’ZŠúi1`3ƒ–ŒŽj<br>
<input type="checkbox" name="uchiwake3" value="’·Šú, ">’·Šúi6ƒ–ŒŽ`j<br>
<input t
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