57 lines
3.5 KiB
PHP
57 lines
3.5 KiB
PHP
<!doctype html>
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<html lang="ja">
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<head>
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<title>｜So-Manager</title>
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<meta charset="utf-8">
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<link rel="icon" href="assets/img/favicon.ico">
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<link href="https://cdnjs.cloudflare.com/ajax/libs/typicons/2.0.9/typicons.css" rel="stylesheet">
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<link href="https://fonts.googleapis.com/earlyaccess/roundedmplus1c.css" rel="stylesheet" />
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<link href="../bootstrap/css/bootstrap.min.css" rel="stylesheet">
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<link href="assets/css/style.css" rel="stylesheet">
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<script src="assets/js/ie-emulation-modes-warning.js"></script>
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</head>
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<body id="" class="">
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<div id="font-scale" class="home">
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@include('layouts.header');
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<!-- ▼ メイン部分 ▼ -->
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<main role="main" id="" class="">
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<section id="" class="container mt20 mb20">
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<div class="row">
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<div class="col-12 col-lg-10 offset-0 offset-lg-1 mt20 mb20">
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<div class="card border-success">
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<div class="card-header border-success">
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<h5 class="card-title text-success">新規会員登録</h5>
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</div>
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<div class="card-body mt30">
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<p class="h4">入力内容をご確認の上、登録ボタンを押して下さい。</p>
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<section id="" class="container mt50 mb50">
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<form class="row form" action="{route('swo2_5')}}" method="post">
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<input type="hidden" name="_token" value="oEhAfdqtNNAs2vOfjZqveVaH3G1fF62yb8qJIshV">
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<div class="col-12 col-md-3 offset-0 offset-md-1"><label for="user_name">お名前</label></div>
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<div class="col-12 col-lg-6 mb10"><h3>テスト</h3><input type="hidden" name="user_name" value="テスト"></div>
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<div class="col-12 col-md-3 offset-0 offset-md-1"><label for="user_phonetic">フリガナ</label></div>
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<div class="col-12 col-lg-6 mb10"><h3>テスト</h3><input type="hidden" name="user_phonetic" value="テスト"></div>
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<div class="col-12 col-md-3 offset-0 offset-md-1"><label for="user_homephone">自宅電話番号</label></div>
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<div class="col-12 col-lg-6 mb10"><h3>111-1111-1111</h3><input type="hidden" name="user_homephone" value="111-1111-1111"></div>
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<div class="col-12 col-md-3 offset-0 offset-md-1"><label for="user_mobile">予備電話番号</label></div>
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<div class="col-12 col-lg-6 mb10"><h3></h3><input type="hidden" name="user_mobile" value=""></div>
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<div class="col-12 col-md-3 offset-0 offset-md-1"><label for="user_primemail">メールアドレス</label></div>
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<div class="col-12 col-lg-6 mb10"><h3>a@b.co.jp</h3><input type="hidden" name="user_primemail" value="a@b.co.jp"></div>
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<div class="col-12 col-md-5 offset-0 offset-md-1 mt10"><a href="./complete.html" class="btn btn-lg btn-block btn-outline-success">登録</a></div>
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<div class="col-12 col-md-5 mt10"><a href="route('swo2_5')}}" class="btn btn-lg btn-block btn-outline-success">戻る</a></div>
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<div class="col-12 col-md-4 offset-0 offset-md-4 mt50 mb50"></div>
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</form>
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</section>
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</div>
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</div>
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</div>
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</div>
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</section>
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</main>
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<!-- ▲ メイン部分 ▲ -->
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@include('layouts.info');
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@include('layouts.footer');
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</div>
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</body>
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</html>
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