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<?xml version='1.0' encoding='UTF-8'?>
<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml" lang="ja" xml:lang="ja">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=UTF-8" />
<meta http-equiv="Content-Script-Type" content="text/javascript" />
<meta http-equiv="Content-Style-Type" content="text/css" />
<link rel="stylesheet" href="/shopping/user_data/css/common.css" type="text/css" media="all" />
<link rel="alternate" type="application/rss+xml" title="RSS" href="http://www.b-chic.com/shopping/rss/index.php" />
<script type="text/javascript" src="/shopping/user_data/packages/tpl20090223/js/css.js"></script>
<script type="text/javascript" src="/shopping/user_data/packages/tpl20090223/js/navi.js"></script>
<script type="text/javascript" src="/shopping/user_data/packages/tpl20090223/js/win_op.js"></script>
<script type="text/javascript" src="/shopping/user_data/packages/tpl20090223/js/site.js"></script>
<title>名古屋インテリア、アメリカンアンティーク、モダンファニチャー、b-chic modern,ビーシック/お問い合わせ(入力ページ)</title>
<meta name="author" content="名古屋インテリア、アメリカンアンティーク、モダンファニチャー、b-chic modern,ビーシック" />
<meta name="description" content="b-chic(ビーシック)は名古屋市にあるインテリア、輸入雑貨の専門店です。" />
<meta name="keywords" content="名古屋,インテリア,輸入雑貨,ファイヤーキング,キッドキャット" />
<script type="text/javascript">//<![CDATA[
    
//]]>
</script>
<script type="text/javascript">
var gaJsHost = (("https:" == document.location.protocol) ? "https://ssl." : "http://www.");
document.write(unescape("%3Cscript src='" + gaJsHost + "google-analytics.com/ga.js' type='text/javascript'%3E%3C/script%3E"));
</script>
<script type="text/javascript">
try {
var pageTracker = _gat._getTracker("UA-1067760-4");
pageTracker._trackPageview();
} catch(err) {}</script>
</head>

<!-- ▼BODY部 スタート -->
<body onLoad="preLoadImg('/shopping/user_data/packages/tpl20090223/'); ">


<noscript>
  <p>JavaScript を有効にしてご利用下さい.</p>
</noscript>

<div id="topbg">&nbsp;</div>

<a name="top" id="top"></a>

<!--▼HEADER-->
<div id="header">
  <div id="logo-nav_area">
      <h1>
        <a href="http://www.b-chic.com/shopping/">
          <em>名古屋インテリア、アメリカンアンティーク、モダンファニチャー、b-chic modern,ビーシック/お問い合わせ(入力ページ)</em>
        </a>
      </h1>
      <img id="oldimg_poz" src="/images/index/oldandnew.gif" />
       <!--左上ナビゲーション部分-->
      <p id="subnav">│<a href="http://www.b-chic.com/">ＨＯＭＥ</a>││<a href="http://www.b-chic.com/shopping/contact/index.php">お問合せ</a>││<a href="http://www.b-chic.com/shopping/user_data/sitemap.php">サイトマップ</a>││<a href="http://www.b-chic.com/shopping/order/index.php">特定商法取引</a>││<a href="http://www.b-chic.com/shopping/abouts/index.php">販売会社</a>│<br /><img src="/shopping/user_data/packages/tpl20090223/img/plus/header/oroshi.gif" /></p>
  </div>
  <div id="navigation_area">
    <a href="http://www.b-chic.com/shopping/" onmouseover="chgImg('/shopping/user_data/packages/tpl20090223/img/plus/header/navbtn/navbtn-01-on.jpg','toppage');" onmouseout="chgImg('/shopping/user_data/packages/tpl20090223/img/plus/header/navbtn/navbtn-01-off.jpg','toppage');"><img src="/shopping/user_data/packages/tpl20090223/img/plus/header/navbtn/navbtn-01-off.jpg" alt="TOP PAGE" name="toppage" /></a><img src="/shopping/user_data/packages/tpl20090223/img/plus/header/navbtn/space-01.jpg" /><a href="http://www.b-chic.com/shopping/products/list.php" onmouseover="chgImg('/shopping/user_data/packages/tpl20090223/img/plus/header/navbtn/navbtn-02-on.jpg','itemlist');" onmouseout="chgImg('/shopping/user_data/packages/tpl20090223/img/plus/header/navbtn/navbtn-02-off.jpg','itemlist');"><img src="/shopping/user_data/packages/tpl20090223/img/plus/header/navbtn/navbtn-02-off.jpg" alt="ITEM LIST" name="itemlist" /></a><img src="/shopping/user_data/packages/tpl20090223/img/plus/header/navbtn/space-02.jpg" /><a href="http://www.b-chic.com/shopping/abouts/index.php" onmouseover="chgImg('/shopping/user_data/packages/tpl20090223/img/plus/header/navbtn/navbtn-03-on.jpg','shopinfo');" onmouseout="chgImg('/shopping/user_data/packages/tpl20090223/img/plus/header/navbtn/navbtn-03-off.jpg','shopinfo');"><img src="/shopping/user_data/packages/tpl20090223/img/plus/header/navbtn/navbtn-03-off.jpg" alt="SHOP INFO" name="shopinfo" /></a><img src="/shopping/user_data/packages/tpl20090223/img/plus/header/navbtn/space-03.jpg" /><a href="http://www.b-chic.com/shopping/user_data/howtoshopping.php" onmouseover="chgImg('/shopping/user_data/packages/tpl20090223/img/plus/header/navbtn/navbtn-04-on.jpg','howtoshopping');" onmouseout="chgImg('/shopping/user_data/packages/tpl20090223/img/plus/header/navbtn/navbtn-04-off.jpg','howtoshopping');"><img src="/shopping/user_data/packages/tpl20090223/img/plus/header/navbtn/navbtn-04-off.jpg" alt="HOW TO SHOPPING" name="howtoshopping" /></a><img src="/shopping/user_data/packages/tpl20090223/img/plus/header/navbtn/space-04.jpg" /><a href="http://www.b-chic.com/shopping/cart/index.php" onmouseover="chgImg('/shopping/user_data/packages/tpl20090223/img/plus/header/navbtn/navbtn-05-on.jpg','shoppingcart');" onmouseout="chgImg('/shopping/user_data/packages/tpl20090223/img/plus/header/navbtn/navbtn-05-off.jpg','shoppingcart');"><img src="/shopping/user_data/packages/tpl20090223/img/plus/header/navbtn/navbtn-05-off.jpg" alt="SHOPPING CART" name="shoppingcart" /></a>
  </div>
</div>
<!--▲HEADER-->
<div id="container">
      <div id="leftcolumn">
                  <!-- ▼ログイン ここから-->
                      
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<!--▼ログインここから-->
<p id="logintop_area"> </p>
<div id="loginarea">
    <p class="icon_01">LOG IN</p>
    <form name="login_form" id="login_form" method="post" action="http://www.b-chic.com/shopping/frontparts/login_check.php" onsubmit="return fnCheckLogin('login_form')">
      <input type="hidden" name="mode" value="login" />
      <input type="hidden" name="transactionid" value="2ac6ed55d2d8dccecd1eec00d65450456bd679ca" />
      <input type="hidden" name="url" value="/shopping/contact/index.php" />
      <div id="login">
                <p>mail         <input type="text" name="login_email" class="box96" value="" /></p>
        <p>password <input type="password" name="login_pass" class="box96" /></p>
      </div>
        <p class="mini">
          <a href="
Deprecated: Function ereg_replace() is deprecated in /home/b-chic/public_html/shopping/data/class/util/SC_Utils.php on line 805
http://www.b-chic.com/shopping/forgot/index.php" onclick="win01('
Deprecated: Function ereg_replace() is deprecated in /home/b-chic/public_html/shopping/data/class/util/SC_Utils.php on line 805
http://www.b-chic.com/shopping/forgot/index.php','forget','600','400'); return false;" target="_blank">パスワードを忘れた方はこちら</a>
        </p>
        <p>
          <input type="checkbox" name="login_memory" value="1"  />
          <img src="/shopping/user_data/packages/tpl20090223/img/header/memory.gif" width="18" height="9" alt="記憶" />
        </p>
        <p class="btn">
          <input type="image" onmouseover="chgImgImageSubmit('/shopping/user_data/packages/tpl20090223/img/plus/side/btn-01.jpg',this)" onmouseout="chgImgImageSubmit('/shopping/user_data/packages/tpl20090223/img/plus/side/btn-01.jpg',this)" src="/shopping/user_data/packages/tpl20090223/img/plus/side/btn-01.jpg" alt="ログイン" name="subm" />
        </p>
                <!--ログインフォーム-->
    </form>
  </div>
<p id="loginbottom_area"> </p>
<!--▲ログインここまで-->
                  <!-- ▲ログイン ここまで-->
              <!-- ▼商品検索 ここから-->
                      
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Deprecated: Function eregi_replace() is deprecated in /home/b-chic/public_html/shopping/data/class/db/dbfactory/SC_DB_DBFactory_MYSQL.php on line 245

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Deprecated: Function ereg() is deprecated in /home/b-chic/public_html/shopping/data/class/SC_CartSession.php on line 249
<!--▼検索条件ここから-->
<p id="searchtop_area">&nbsp;</p>
<div id="searcharea">
  <!--検索フォーム-->
  	<p class="icon_01">ITEM SEARCH</p>
    <form name="search_form" id="search_form" method="get" action="/shopping/products/list.php">
      <p>カテゴリー選択</p>
      <p>
        <input type="hidden" name="mode" value="search" />
        <select name="category_id" class="box142">
          <option label="すべての商品" value="">全ての商品</option>
          <option label="　Furniture" value="6">　Furniture</option>
<option label="　　OLD チェア" value="15">　　OLD チェア</option>
<option label="　　OLD ソファ/テーブル" value="14">　　OLD ソファ/テーブル</option>
<option label="　　OLD 収納家具" value="12">　　OLD 収納家具</option>
<option label="　　NEW ファニチャー" value="33">　　NEW ファニチャー</option>
<option label="　　NEW Hawaii" value="45">　　NEW Hawaii</option>
<option label="　　OLD その他" value="11">　　OLD その他</option>
<option label="　Lighting" value="7">　Lighting</option>
<option label="　　OLD ハンギング" value="19">　　OLD ハンギング</option>
<option label="　　OLD スタンド" value="18">　　OLD スタンド</option>
<option label="　　NEW　ライティング" value="34">　　NEW　ライティング</option>
<option label="　　OLD その他" value="16">　　OLD その他</option>
<option label="　Electric" value="8">　Electric</option>
<option label="　　OLD 時計" value="22">　　OLD 時計</option>
<option label="　　NEW KIT-CAT他" value="21">　　NEW KIT-CAT他</option>
<option label="　　OLD その他" value="20">　　OLD その他</option>
<option label="　Dishware" value="9">　Dishware</option>
<option label="　　OLD ファイヤーキング(ジェダ..." value="27">　　OLD ファイヤーキング(ジェダ...</option>
<option label="　　OLD ファイヤーキング(マグ)" value="41">　　OLD ファイヤーキング(マグ)</option>
<option label="　　OLD ファイヤーキング(その他)" value="42">　　OLD ファイヤーキング(その他)</option>
<option label="　　OLD パイレックス" value="35">　　OLD パイレックス</option>
<option label="　　OLD ガラス" value="26">　　OLD ガラス</option>
<option label="　　OLD ミッドウインター" value="25">　　OLD ミッドウインター</option>
<option label="　　OLD ラッセルライト" value="36">　　OLD ラッセルライト</option>
<option label="　　OLD セラミック" value="37">　　OLD セラミック</option>
<option label="　　OLD キッチンウェア" value="24">　　OLD キッチンウェア</option>
<option label="　　NEW キッチンウェア" value="46">　　NEW キッチンウェア</option>
<option label="　　OLD その他" value="23">　　OLD その他</option>
<option label="　Others" value="10">　Others</option>
<option label="　　OLD キャラクター" value="31">　　OLD キャラクター</option>
<option label="　　OLD アパレル" value="30">　　OLD アパレル</option>
<option label="　　NEW  ガーデン" value="38">　　NEW  ガーデン</option>
<option label="　　OLD JAPAN" value="39">　　OLD JAPAN</option>
<option label="　　OLD  その他" value="28">　　OLD  その他</option>

        </select>
      </p>
      <p>商品名入力</p>
      <p><input type="text" name="name" class="box142" maxlength="50" value="" /></p>
      <p class="btn"><input type="image" onmouseover="chgImgImageSubmit('/shopping/user_data/packages/tpl20090223/img/plus/side/btn-02.jpg',this)" onmouseout="chgImgImageSubmit('/shopping/user_data/packages/tpl20090223/img/plus/side/btn-02.jpg',this)" src="/shopping/user_data/packages/tpl20090223/img/plus/side/btn-02.jpg" alt="検索" name="search" /></p>
    </form>
</div>
<p id="loginbottom_area">&nbsp;</p>
<!--▲検索条件ここまで-->
                  <!-- ▲商品検索 ここまで-->
              <!-- ▼商品カテゴリ（左カラム） ここから-->
                      <!--商品カテゴリここから-->
<div id="categoryside_area">
 <h2><img src="/shopping/user_data/packages/tpl20090223/img/plus/side/parts-04.jpg" alt="FURNITURE" /></h2>
 <ul><li class="old_collar"><a href="http://www.b-chic.com/shopping/products/list.php?category_id=15">OLD チェア</a></li><li class="old_collar"><a href="http://www.b-chic.com/shopping/products/list.php?category_id=14">OLD ソファ/テーブル</a></li><li class="old_collar"><a href="http://www.b-chic.com/shopping/products/list.php?category_id=12">OLD 収納家具</a></li><li class="new_collar"><a href="http://www.b-chic.com/shopping/products/list.php?category_id=33">NEW ファニチャー</a></li><li class="new_collar"><a href="http://www.b-chic.com/shopping/products/list.php?category_id=45">NEW HAWAII</a></li><li class="old_collar"><a href="http://www.b-chic.com/shopping/products/list.php?category_id=11">OLD その他</a></li></ul>
 <h2><img src="/shopping/user_data/packages/tpl20090223/img/plus/side/parts-05.jpg" alt="LIGHTING" /></h2>
 <ul><li class="old_collar"><a href="http://www.b-chic.com/shopping/products/list.php?category_id=19">OLD ハンギング</a></li><li class="old_collar"><a href="http://www.b-chic.com/shopping/products/list.php?category_id=18">OLD スタンド</a></li><li class="new_collar"><a href="http://www.b-chic.com/shopping/products/list.php?category_id=34">NEW ライティング</a></li><li class="old_collar"><a href="http://www.b-chic.com/shopping/products/list.php?category_id=16">OLD その他</a></li></ul>
 <h2><img src="/shopping/user_data/packages/tpl20090223/img/plus/side/parts-07.jpg" alt="ELECTRIC" /></h2>
 <ul><li class="old_collar"><a href="http://www.b-chic.com/shopping/products/list.php?category_id=22">OLD 時計</a></li><li class="new_collar"><a href="http://www.b-chic.com/shopping/products/list.php?category_id=21">NEW KIT-CAT他</a></li><li class="old_collar"><a href="http://www.b-chic.com/shopping/products/list.php?category_id=20">OLD その他</a></li></ul>
 <h2><img src="/shopping/user_data/packages/tpl20090223/img/plus/side/parts-08.jpg" alt="DISHWARE" /></h2>
 <ul><li class="old_collar"><a href="http://www.b-chic.com/shopping/products/list.php?category_id=27">OLD ファイヤーキング（ジェダイ）</a></li><li class="old_collar"><a href="http://www.b-chic.com/shopping/products/list.php?category_id=41">OLD ファイヤーキング（マグ）</a></li><li class="old_collar"><a href="http://www.b-chic.com/shopping/products/list.php?category_id=42">OLD ファイヤーキング（その他）</a></li><li class="old_collar"><a href="http://www.b-chic.com/shopping/products/list.php?category_id=35">OLD パイレックス</a></li><li class="old_collar"><a href="http://www.b-chic.com/shopping/products/list.php?category_id=26">OLD ガラス</a></li><li class="old_collar"><a href="http://www.b-chic.com/shopping/products/list.php?category_id=25">OLD ミッドウインター</a></li><li class="old_collar"><a href="http://www.b-chic.com/shopping/products/list.php?category_id=36">OLD ラッセルライト</a></li><li class="old_collar"><a href="http://www.b-chic.com/shopping/products/list.php?category_id=37">OLD セラミック</a></li><li class="old_collar"><a href="http://www.b-chic.com/shopping/products/list.php?category_id=24">OLD キッチンウェア</a></li><li class="new_collar"><a href="http://www.b-chic.com/shopping/products/list.php?category_id=46">NEW キッチンウェア</a></li><li class="old_collar"><a href="http://www.b-chic.com/shopping/products/list.php?category_id=23">OLD その他</a></li></ul>
 <h2><img src="/shopping/user_data/packages/tpl20090223/img/plus/side/parts-09.jpg" alt="GROCERIES" /></h2>
 <ul><li class="old_collar"><a href="http://www.b-chic.com/shopping/products/list.php?category_id=31">OLD キャラクター</a></li><li class="old_collar"><a href="http://www.b-chic.com/shopping/products/list.php?category_id=30">OLD アパレル</a></li><li class="new_collar"><a href="http://www.b-chic.com/shopping/products/list.php?category_id=38">NEW ガーデン</a></li><li class="old_collar"><a href="http://www.b-chic.com/shopping/products/list.php?category_id=39">OLD JAPAN</a></li><li class="old_collar"><a href="http://www.b-chic.com/shopping/products/list.php?category_id=28">OLD その他</a></li></ul>
</div>
<!--商品カテゴリここまで-->                  <!-- ▲商品カテゴリ（左カラム） ここまで-->
              <!-- ▼QR部分 ここから-->
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<div id="qrarea">
  <h2>
    <img src="/shopping/user_data/packages/tpl20090223/img/plus/banner/mobile-01.jpg" alt="携帯電話からもお買い物できます" />
  </h2>
</div>
<!--▲QRここまで-->
<br />
<!--▼ショップインフォここから-->
<div id="sideshopinfo_area">
<p>ビーシックモダン（b-chic modern）<br />
〒468-0022<br />
愛知県名古屋市天白区高島二丁目1704<br />
                <div style="width:110px;float:left;font-size:10px;">【ANTIQUE SHOP】</div>
                <div style="width:90px;float:left;font-size:10px;">11:00～19:00</div>
                <div style="clear:both"></div>
定休日：火曜日 </p>
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<!--▼カレンダーここから-->
<h2><img src="/shopping/user_data/packages/tpl20090223/img/plus/side/title_calendar.gif" alt="カレンダー" /></h2>
<div id="block-calendar">
<table>
<caption>2012年2月の定休日</caption>
<thead><tr><th>日</th><th>月</th><th>火</th><th>水</th><th>木</th><th>金</th><th>土</th></tr></thead>
<tr>
<td></td>
<td></td>
<td></td>
<td>1</td>
<td>2</td>
<td>3</td>
<td>4</td>
</tr>
<tr>
<td>5</td>
<td>6</td>
<td class="off">7</td>
<td>8</td>
<td>9</td>
<td>10</td>
<td>11</td>
</tr>
<tr>
<td>12</td>
<td>13</td>
<td class="off">14</td>
<td>15</td>
<td>16</td>
<td>17</td>
<td>18</td>
</tr>
<tr>
<td>19</td>
<td>20</td>
<td class="off">21</td>
<td>22</td>
<td>23</td>
<td>24</td>
<td>25</td>
</tr>
<tr>
<td>26</td>
<td>27</td>
<td class="off">28</td>
<td>29</td>
<td></td>
<td></td>
<td></td>
</tr>
</table>
<table>
<caption>2012年3月の定休日</caption>
<thead><tr><th>日</th><th>月</th><th>火</th><th>水</th><th>木</th><th>金</th><th>土</th></tr></thead>
<tr>
<td></td>
<td></td>
<td></td>
<td></td>
<td>1</td>
<td>2</td>
<td>3</td>
</tr>
<tr>
<td>4</td>
<td>5</td>
<td class="off">6</td>
<td>7</td>
<td>8</td>
<td>9</td>
<td>10</td>
</tr>
<tr>
<td>11</td>
<td>12</td>
<td class="off">13</td>
<td>14</td>
<td>15</td>
<td>16</td>
<td>17</td>
</tr>
<tr>
<td>18</td>
<td>19</td>
<td>20</td>
<td class="off">21</td>
<td>22</td>
<td>23</td>
<td>24</td>
</tr>
<tr>
<td>25</td>
<td>26</td>
<td class="off">27</td>
<td>28</td>
<td>29</td>
<td>30</td>
<td>31</td>
</tr>
</table>

<p id="holiday">
                <div style="width:110px;float:left;font-size:10px;">【ANTIQUE SHOP】</div>
                <div style="width:90px;float:left;font-size:10px;">11:00～19:00</div>
                <div style="clear:both"></div>
定休日…毎週火曜日<br />火曜祝日の場合、通常通り営業<br />翌水曜日が定休日となります。</p>

</div>
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                  <!-- ▲カレンダー ここまで-->
              <!-- ▼アイテムリスト更新2 ここから-->
                      <br />
<br />
<!--アイテムリスト2-->
<div id="itemlist_area">
  <ul>
    <li><a href="/shopping/products/list.php?mode=search&category_id=&name=%E3%83%B4%E3%82%A1%E3%83%BC%E3%83%8E%E3%83%B3&search.x=0&search.y=0" onmouseover="chgImg('/shopping/user_data/packages/tpl20090223/img/plus/itemlist/banner-14-on.jpg','itemlist14');" onmouseout="chgImg('/shopping/user_data/packages/tpl20090223/img/plus/itemlist/banner-14-off.jpg','itemlist14');"><img src="/shopping/user_data/packages/tpl20090223/img/plus/itemlist/banner-14-off.jpg" alt="バーノンキルンス" name="itemlist14" /></a></li>
    <li><a href="/shopping/products/list.php?mode=search&category_id=&name=%E3%83%91%E3%82%A4%E3%83%AC%E3%83%83%E3%82%AF%E3%82%B9&search.x=0&search.y=0" onmouseover="chgImg('/shopping/user_data/packages/tpl20090223/img/plus/itemlist/banner-15-on.jpg','itemlist15');" onmouseout="chgImg('/shopping/user_data/packages/tpl20090223/img/plus/itemlist/banner-15-off.jpg','itemlist15');"><img src="/shopping/user_data/packages/tpl20090223/img/plus/itemlist/banner-15-off.jpg" alt="オールドパイレックス" name="itemlist15" /></a></li>
    <li><a href="/shopping/products/list.php?mode=search&category_id=&name=%E3%82%AA%E3%82%AD%E3%83%91%E3%82%A4%E3%83%89&search.x=0&search.y=0" onmouseover="chgImg('/shopping/user_data/packages/tpl20090223/img/plus/itemlist/banner-16-on.jpg','itemlist16');" onmouseout="chgImg('/shopping/user_data/packages/tpl20090223/img/plus/itemlist/banner-16-off.jpg','itemlist16');"><img src="/shopping/user_data/packages/tpl20090223/img/plus/itemlist/banner-16-off.jpg" alt="オキパイドジャパン" name="itemlist16" /></a></li>
    <li><a href="/shopping/products/list.php?mode=search&category_id=&name=%E3%82%AA%E3%83%BC%E3%83%AB%E3%83%89%E3%80%80%E3%83%8E%E3%83%AA%E3%82%BF%E3%82%B1&search.x=0&search.y=0" onmouseover="chgImg('/shopping/user_data/packages/tpl20090223/img/plus/itemlist/banner-17-on.jpg','itemlist17');" onmouseout="chgImg('/shopping/user_data/packages/tpl20090223/img/plus/itemlist/banner-17-off.jpg','itemlist17');"><img src="/shopping/user_data/packages/tpl20090223/img/plus/itemlist/banner-17-off.jpg" alt="オールドノリタケ" name="itemlist17" /></a></li>
  </ul>
</div>
<!--アイテムリスト2-->
                  <!-- ▲アイテムリスト更新2 ここまで-->
            </div>
    
      <div id="two_maincolumn">
                        <!-- ▼送料無料（2カラム） ここから-->
                  <!-- 特集バナー -->
<p id="carriage"><img src="/shopping/user_data/packages/tpl20090223/img/plus/main/psusume_2clm_01.jpg" alt="10000円以上で送料無料" /></p>
</p>                <!-- ▲送料無料（2カラム） ここまで-->
                  
        <!--▼CONTENTS-->
<div id="undercolumn">
  
  <div id="undercolumn_contact">
    <div id="listtitle"><h2>お問い合わせ</h2></div>
    
    <p>お問い合わせはメールにて承っています。<br />
    内容によっては回答をさしあげるのにお時間をいただくこともございます。また、土日、祝祭日、年末年始、夏季期間は翌営業日以降の対応となりますのでご了承ください。</p>
    
    <p class="mini"><em>※ご注文に関するお問い合わせには、必ず「ご注文番号」と「お名前」をご記入の上、メールくださいますようお願いいたします。</em></p>
    
    <form name="form1" method="post" action="/shopping/contact/index.php">
    <input type="hidden" name="mode" value="confirm" />
    
    <table summary="お問い合わせ">
      <tr>
        <th>お名前<span class="attention">※</span></th>
        <td>
          <span class="attention"></span>
          姓&nbsp;<input type="text"
                         class="box120"
                         name="name01"
                         value=""
                         maxlength="50"
                         style="" />　
          名&nbsp;<input type="text" class="box120" name="name02"
                         value=""
                         maxlength="50"
                         style="" />
        </td>
      </tr>
      <tr>
        <th>お名前（フリガナ）<span class="attention">※</span></th>
        <td>
          <span class="attention"></span>
          セイ&nbsp;<input type="text"
                           class="box120"
                           name="kana01"
                           value=""
                           maxlength="50"
                           style="" />　
          メイ&nbsp;<input type="text"
                           class="box120"
                           name="kana02"
                           value=""
                           maxlength="50"
                           style="" />
        </td>
      </tr>
      <tr>
        <th>郵便番号</th>
        <td>
          <span class="attention"></span>
          <p>
            〒&nbsp;
            <input type="text"
                   name="zip01"
                   class="box60"
                   value=""
                   maxlength="3"
                   style="" />&nbsp;-&nbsp;
            <input type="text"
                   name="zip02"
                   class="box60"
                   value=""
                   maxlength="4"
                   style="" />　
            <a href="http://search.post.japanpost.jp/zipcode/" target="_blank"><span class="fs10">郵便番号検索</span></a>
          </p>
          <p class="zipimg">
            <a href="javascript:fnCallAddress('/shopping/input_zip.php', 'zip01', 'zip02', 'pref', 'addr01');">
              <img src="/shopping/user_data/packages/tpl20090223/img/common/address.gif" width="86" height="20" alt="住所自動入力" />
            </a>
            <span class="mini">&nbsp;郵便番号を入力後、クリックしてください。</span>
          </p>
        </td>
      </tr>
      <tr>
        <th>住所</th>
        <td>
          <span class="attention"></span>
          
          <select name="pref" style="">
          <option value="">都道府県を選択</option>
          <option label="北海道" value="1">北海道</option>
<option label="青森県" value="2">青森県</option>
<option label="岩手県" value="3">岩手県</option>
<option label="宮城県" value="4">宮城県</option>
<option label="秋田県" value="5">秋田県</option>
<option label="山形県" value="6">山形県</option>
<option label="福島県" value="7">福島県</option>
<option label="茨城県" value="8">茨城県</option>
<option label="栃木県" value="9">栃木県</option>
<option label="群馬県" value="10">群馬県</option>
<option label="埼玉県" value="11">埼玉県</option>
<option label="千葉県" value="12">千葉県</option>
<option label="東京都" value="13">東京都</option>
<option label="神奈川県" value="14">神奈川県</option>
<option label="新潟県" value="15">新潟県</option>
<option label="富山県" value="16">富山県</option>
<option label="石川県" value="17">石川県</option>
<option label="福井県" value="18">福井県</option>
<option label="山梨県" value="19">山梨県</option>
<option label="長野県" value="20">長野県</option>
<option label="岐阜県" value="21">岐阜県</option>
<option label="静岡県" value="22">静岡県</option>
<option label="愛知県" value="23">愛知県</option>
<option label="三重県" value="24">三重県</option>
<option label="滋賀県" value="25">滋賀県</option>
<option label="京都府" value="26">京都府</option>
<option label="大阪府" value="27">大阪府</option>
<option label="兵庫県" value="28">兵庫県</option>
<option label="奈良県" value="29">奈良県</option>
<option label="和歌山県" value="30">和歌山県</option>
<option label="鳥取県" value="31">鳥取県</option>
<option label="島根県" value="32">島根県</option>
<option label="岡山県" value="33">岡山県</option>
<option label="広島県" value="34">広島県</option>
<option label="山口県" value="35">山口県</option>
<option label="徳島県" value="36">徳島県</option>
<option label="香川県" value="37">香川県</option>
<option label="愛媛県" value="38">愛媛県</option>
<option label="高知県" value="39">高知県</option>
<option label="福岡県" value="40">福岡県</option>
<option label="佐賀県" value="41">佐賀県</option>
<option label="長崎県" value="42">長崎県</option>
<option label="熊本県" value="43">熊本県</option>
<option label="大分県" value="44">大分県</option>
<option label="宮崎県" value="45">宮崎県</option>
<option label="鹿児島県" value="46">鹿児島県</option>
<option label="沖縄県" value="47">沖縄県</option>

          </select>
          
          <p class="mini">
            <input type="text"
                   class="box380"
                   name="addr01"
                   value=""
                   style="" /><br />
            市区町村名（例：千代田区神田神保町）
          </p>
          
          <p class="mini">
            <input type="text"
                   class="box380"
                   name="addr02"
                   value=""
                   style="" /><br />
            番地・ビル名（例：1-3-5）
          </p>
          
          <p class="mini"><em>住所は2つに分けてご記入いただけます。マンション名は必ず記入してください。</em></p>
        </td>
      </tr>
      <tr>
        <th>電話番号</th>
        <td>
          <span class="attention"></span>
          <input type="text" 
                 class="box60"
                 name="tel01"
                 value=""
                 maxlength="6"
                 style="" />&nbsp;-&nbsp;
          <input type="text" 
                 class="box60"
                 name="tel02"
                 value=""
                 maxlength="6"
                 style="" />&nbsp;-&nbsp;
          <input type="text" 
                 class="box60"
                 name="tel03"
                 value=""
                 maxlength="6"
                 style="" />
        </td>
      </tr>
      <tr>
        <th>メールアドレス<span class="attention">※</span></th>
        <td>
          <span class="attention"></span>
          <input type="text"
                 class="box380"
                 name="email"
                 value=""
                 maxlength="200"
                 style="" /><br />
                              <input type="text"
                 class="box380"
                 name="email02"
                 value=""
                 maxlength="200"
                 style="" /><br />
          <p class="mini"><em>確認のため2度入力してください。</em></p>
        </td>
      </tr>        
      <tr>
        <th>お問い合わせ内容<span class="attention">※</span><br />
        <span class="mini">（全角1000字以下）</span></th>
        <td>
          <span class="attention"></span>
          <textarea name="contents"
                    class="area380"
                    cols="60"
                    rows="20"
                    style=""></textarea>
        </td>
      </tr>
    </table>
    
    <div class="tblareabtn">
      <input type="image"
             onmouseover="chgImgImageSubmit('/shopping/user_data/packages/tpl20090223/img/common/b_confirm_on.gif', this)"
             onmouseout="chgImgImageSubmit('/shopping/user_data/packages/tpl20090223/img/common/b_confirm.gif', this)"
             src="/shopping/user_data/packages/tpl20090223/img/common/b_confirm.gif"
             style="width:150px; height=30px;"
             alt="確認ページへ"
             name="confirm" />
    </div>
    </form>
  </div>
</div>
<!--▲CONTENTS-->        
              </div>
  
      
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