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"企業側1:[事前登録]問い合わせ"
Bootstrap 3.3.0 Snippet by
Yutayamamoto
3.3.0
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<link href="//maxcdn.bootstrapcdn.com/bootstrap/3.3.0/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css"> <script src="//maxcdn.bootstrapcdn.com/bootstrap/3.3.0/js/bootstrap.min.js"></script> <script src="//code.jquery.com/jquery-1.11.1.min.js"></script> <!------ Include the above in your HEAD tag ----------> <form class="form-horizontal"> <fieldset> <!-- Form Name --> <legend>[事前登録]問い合わせ</legend> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="textinput">差出人</label> <div class="col-md-4"> <input name="textinput" class="form-control input-md" id="textinput" type="text" placeholder="例:前進太郎 "> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="textinput">メールアドレス</label> <div class="col-md-4"> <input name="textinput" class="form-control input-md" id="textinput" type="text" placeholder="例:zenshin.tarou@zenshin.com"> </div> </div> <!-- Multiple Checkboxes (inline) --> <div class="form-group"> <label class="col-md-4 control-label" for="checkboxes">お問い合わせ概要</label> <div class="col-md-4"> <label class="checkbox-inline" for="checkboxes-0"> <input name="checkboxes" id="checkboxes-0" type="checkbox" value="1"> 登録者(人数、属性)について知りたい </label> <label class="checkbox-inline" for="checkboxes-1"> <input name="checkboxes" id="checkboxes-1" type="checkbox" value="2"> 料金体系を知りたい </label> <label class="checkbox-inline" for="checkboxes-2"> <input name="checkboxes" id="checkboxes-2" type="checkbox" value="3"> サービス概要、機能について知りたい </label> <label class="checkbox-inline" for="checkboxes-3"> <input name="checkboxes" id="checkboxes-3" type="checkbox" value="4"> 最短でいつ掲載できるか知りたい </label> <label class="checkbox-inline" for="checkboxes-4"> <input name="checkboxes" id="checkboxes-4" type="checkbox" value=""> 渡航ビザ・住居の代行サービスについて知りたい </label> <label class="checkbox-inline" for="checkboxes-5"> <input name="checkboxes" id="checkboxes-5" type="checkbox" value=""> その他 </label> </div> </div> <!-- Textarea --> <div class="form-group"> <label class="col-md-4 control-label" for="textarea">お問い合わせ内容</label> <div class="col-md-4"> <textarea name="textarea" class="form-control" id="textarea"></textarea> </div> </div> <!-- Multiple Checkboxes (inline) --> <div class="form-group"> <label class="col-md-4 control-label" for="checkboxes"></label> <div class="col-md-4"> <label class="checkbox-inline" for="checkboxes-0"> <input name="checkboxes" id="checkboxes-0" type="checkbox" value="1"> 個人情報の取扱いに同意する </label> </div> </div> <!-- Button --> <div class="form-group"> <label class="col-md-4 control-label" for="singlebutton"></label> <div class="col-md-4"> <button name="singlebutton" class="btn btn-primary" id="singlebutton">上記に同意して問い合わせる</button> </div> </div> </fieldset> </form>
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