ミッションフォートス　お問い合わせ</tilte> <script type="text/javascript" src="../common/bt.js"></script> <meta name="keywords" content="久米小百合,ミッションフォートス,久保田早紀,異邦人,音楽伝道"> <meta name="description" content="教会音楽家・音楽伝道者として音楽を通し、み言葉の普及に努めている久米小百合のオフィシャルサイトです。"> <link href="../common/base.css" rel="stylesheet" type="text/css"> <style media="screen" type="text/css"> h1,h2,h3,h4,h5,h6 { padding: 5px 0 5px 5px; font-size: 12px; font-weight: normal; color: #000000; } input,textarea { font-size: 12px; } input.item_name, input.item_send_from, input.item_address, input.item_belongs { width: 350px; } textarea { width: 550px; height: 200px; } form label { color: #ccc; } form label .required { position: relative; top: -1px; left: 2px; font-size: 10px; color: #00D86C; } #main_space { width: 700px; float: left; background-image: url(../image/back.jpg); height: 1125px; text-align: left; } .schedure_txt { width: 630px; text-align: left; margin-top: 95px; color: #FFFFFF; font-size: 12px; margin-left: 30px; } a { color: gold; 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font-weight: bold;">お問い合わせ</h2> <p>ミッション・フォートス事務局にお問い合わせのある方は下記のフォームをご利用ください。</p> <p> 全ての項目を入力の上「問い合わせを行う」をクリックしてください。<br> 入力項目のうち、<em>(必須)</em> とされている項目は必ず入力して下さい。 </p> <form method="POST" action="../cgi-bin/mform/pc_mail.cgi"> <table cellpadding="5" cellspacing="0"> <tr> <td style="vertical-align: top;"><label>ご用件<span class="required">(必須)</span></label></td> <td> <input name="sub" value="チャペルコンサート" type="radio">チャペルコンサート</input><br> <small>（他キリスト教会、ミッションスクール等のご奉仕）</small><br> <input name="sub" value="バイブルカフェ" type="radio">バイブルカフェ</input> </td> </tr> <tr> <td><label>お名前<span class="required">(必須)</span></label></td> <td><input name="name" type="text"></input></td> </tr> <tr> <td><label>メールアドレス<span class="required">(必須)</span></label></td> <td><input name="mail"></input></td> </tr> <tr> <td><label>ご住所</label></td> <td><input name="add" type="text"></input></td> </tr> <tr> <td><label>教会名</label></td> <td><input name="cname" type="text"></input></td> </tr> <tr> <td><label>クリスチャンの方ですか？<span class="required">(必須)</span></label></td> <td> <input name="chr" value="はい" type="radio">はい</input> <input name="chr" value="いいえ" type="radio">いいえ</input> </td> </tr> </table> <p> <label>内容<span class="required">(必須)</span></label><br> <textarea name="goiken"></textarea> </p> <input name="kakunin" type="hidden" value="1" checked><input name="hensin" type="hidden" value="1" checked> <input name="send_mail" value="問い合わせを行う" type="submit" style="width: 200px;"> <input value="入力内容をクリアする" type="reset" style="width: 150px;"> </form> </div> </div> </div> </body> </html>