質問編集履歴
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アドバイス頂ける方、よろしくお願い申し上げます。
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```HTML
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<form action="php/mailform.php" method="post" id="mail_form">
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<div class="form-container">
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<div class="input-block">
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<label class="label" for="rendou">お名前<span class="required">必須</span><span class="gray-text-sp">例)東京 太郎</span></label><input type="text" id="name_1" name="name_1" value="" /><span class="gray-text">例)東京 太郎</span>
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</div>
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<div class="input-block">
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<label class="label" for="rendou">ふりがな<span class="required">必須</span><span class="gray-text-sp">例)とうきょう たろう</span></label><input type="text" id="read_1" name="read_1" value="" /> <span class="gray-text">例)とうきょう たろう</span>
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</div>
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<div class="input-block">
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<label class="label" for="rendou">年齢<span class="required">必須</span></label>
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<select name="age">
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<option>指定なし</option>
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<option value="under18">18歳未満</option>
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<option value="18">18</option>
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<option value="19">19</option>
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<option value="20">20</option>
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<option value="21">21</option>
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<option value="22">22</option>
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<option value="23">23</option>
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<option value="24">24</option>
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<option value="25">25</option>
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<option value="26">26</option>
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<option value="27">27</option>
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<option value="28">28</option>
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<option value="29">29</option>
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<option value="30">30</option>
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<option value="31">31</option>
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<option value="32">32</option>
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<option value="33">33</option>
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<option value="34">34</option>
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<option value="35">35</option>
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<option value="36">36</option>
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<option value="37">37</option>
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<option value="38">38</option>
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<option value="39">39</option>
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<option value="40">40歳以上</option>
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</select>
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</div>
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<div class="input-block">
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<label class="label">住所<span class="required">必須</span></label><input type="text" id="address" name="address" value="" />
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</div>
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<div class="input-block">
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<label class="label" for="rendou">現在の状況<span class="required">必須</span></label>
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<select name="age">
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<option>指定なし</option>
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<option value="working">在職中</option>
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<option value="left">離職中</option>
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<option value="parttime">アルバイト</option>
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</select>
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</div>
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<div class="input-block">
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<label class="label">メールアドレス<span class="required">必須</span><span class="gray-text-sp">例)mail@ドメイン名</span></label><input type="email" id="mail_address_confirm" name="mail_address_confirm" value="" /><span class="gray-text">例)mail@ドメイン名</span>
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</div>
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<div class="input-block">
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<label class="label">電話番号<span class="required">必須</span><span class="gray-text-sp">例)080-0000-0000</span></label><input type="tel" id="phone" name="phone" value="" /><span class="gray-text">例)080-0000-0000</span>
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</div>
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<div id="last-input-block" class="input-block">
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<label class="label">面談希望日<span class="required">必須</span></label>
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<div class="date-wrap">
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<div class="date-block">
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<select id="date" name="month">
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<option value="month">1</option>
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<option value="month">2</option>
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<option value="month">3</option>
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<option value="month">4</option>
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<option value="month">5</option>
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<option value="month">6</option>
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<option value="month">7</option>
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<option value="month">8</option>
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<option value="month">9</option>
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<option value="month">10</option>
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<option value="month">11</option>
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<option value="month">12</option>
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</select>
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<p class="date-month">月</p>
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</div>
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<div class="date-block">
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<select id="date" name="day">
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<option value="day">1</option>
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<option value="day">2</option>
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<option value="day">3</option>
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<option value="day">4</option>
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<option value="day">5</option>
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<option value="day">6</option>
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<option value="day">7</option>
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<option value="day">8</option>
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<option value="day">9</option>
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<option value="day">10</option>
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<option value="day">11</option>
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<option value="day">12</option>
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<option value="day">13</option>
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<option value="day">14</option>
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<option value="day">15</option>
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<option value="day">16</option>
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<option value="day">17</option>
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<option value="day">18</option>
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<option value="day">19</option>
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<option value="day">20</option>
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<option value="day">21</option>
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<option value="day">22</option>
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<option value="day">23</option>
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<option value="day">24</option>
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<option value="day">25</option>
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<option value="day">26</option>
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<option value="day">27</option>
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<option value="day">28</option>
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<option value="day">29</option>
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<option value="day">30</option>
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<option value="day">31</option>
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</select>
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<p class="date-day">日</p>
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</div>
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</div>
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</div>
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<div class="privacy-policy">
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<p><input type="checkbox" name="accept">当サイトの<a href="https://ycm.co.jp/privacy/" target="_blank" rel="noopener noreferrer">「プライバシーポリシー」</a>に同意します。</p>
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</div>
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<p id="form_submit"><input type="button" id="form_submit_button" value="無料相談する!" /></p>
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</div><!--form-container-->
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</form>
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```
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mailform.php↓
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```php
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<?php
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/*--------------------------------------------------------------------------
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Script Name : Responsive Mailform
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Author : FIRSTSTEP - Motohiro Tani
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Author URL : https://www.1-firststep.com
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Create Date : 2014/03/25
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Version : 7.2.1
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Last Update : 2019/10/03
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--------------------------------------------------------------------------*/
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if ( file_exists( dirname( __FILE__ ) .'/../addon/token/session.php' ) ) {
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include( dirname( __FILE__ ) .'/../addon/token/session.php' );
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}
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error_reporting( E_ALL );
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mb_language( 'ja' );
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mb_internal_encoding( 'UTF-8' );
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date_default_timezone_set( 'Asia/Tokyo' );
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require_once( dirname( __FILE__ ) .'/class.mailform.php' );
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$responsive_mailform = new Mailform();
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if ( file_exists( dirname( __FILE__ ) .'/../addon/confirm/confirm.php' ) ) {
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include( dirname( __FILE__ ) .'/../addon/confirm/confirm.php' );
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}
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$responsive_mailform->javascript_action_check();
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$responsive_mailform->referer_check();
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if ( file_exists( dirname( __FILE__ ) .'/../addon/token/token.php' ) ) {
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include( dirname( __FILE__ ) .'/../addon/token/token.php' );
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}
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$responsive_mailform->post_check( 'default' );
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if ( file_exists( dirname( __FILE__ ) .'/../addon/block/block.php' ) ) {
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include( dirname( __FILE__ ) .'/../addon/block/block.php' );
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}
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$responsive_mailform->mail_set( 'send' );
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$responsive_mailform->mail_set( 'thanks' );
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if ( file_exists( dirname( __FILE__ ) .'/../addon/csv-record/include/csv.php' ) ) {
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include( dirname( __FILE__ ) .'/../addon/csv-record/include/csv.php' );
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}
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$responsive_mailform->mail_send();
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$responsive_mailform->mail_result();
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?>
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```
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