{"id":2341,"date":"2022-02-28T11:57:46","date_gmt":"2022-02-28T02:57:46","guid":{"rendered":"https:\/\/www.city.yokkaichi.mie.jp\/new_water\/wp\/?page_id=2341"},"modified":"2022-10-20T13:29:00","modified_gmt":"2022-10-20T04:29:00","slug":"order-form","status":"publish","type":"page","link":"https:\/\/www.city.yokkaichi.mie.jp\/new_water\/shisui-no-sato\/order-form\/","title":{"rendered":"\u300c\u6cd7\u6c34\u306e\u91cc\u300d\u3054\u6ce8\u6587\u30d5\u30a9\u30fc\u30e0"},"content":{"rendered":"<section>\r\n<div class=\"container\"><!-- \u3053\u3053\u304b\u3089\u30d1\u30fc\u30c4 -->\r\n<h4 class=\"h4\">\u30d5\u30a9\u30fc\u30e0\u304b\u3089\u3054\u6ce8\u6587\u3055\u308c\u308b\u5834\u5408\u306e\u78ba\u8a8d\u4e8b\u9805<\/h4>\r\n<p><span class=\"red\">\u203b\u3054\u5229\u7528\u306e\u30e1\u30fc\u30eb\u8a2d\u5b9a\u306b\u3088\u308a\u81ea\u52d5\u8fd4\u4fe1\u30e1\u30fc\u30eb\u3001\u62c5\u5f53\u8005\u304b\u3089\u306e\u8fd4\u4fe1\u304c\u4e0b\u8a18\u306e\u7406\u7531\u306b\u3088\u308a\u5c4a\u304b\u306a\u3044\u5834\u5408\u304c\u3054\u3056\u3044\u307e\u3059\u306e\u3067\u3001\u30b9\u30de\u30fc\u30c8\u30d5\u30a9\u30f3\u30fb\u643a\u5e2f\u96fb\u8a71\u30fb\u30d5\u30ea\u30fc\u30e1\u30fc\u30eb\u306a\u3069\u3092\u3054\u5229\u7528\u306e\u5834\u5408\u3001\u3042\u3089\u304b\u3058\u3081\u30e1\u30fc\u30eb\u53d7\u4fe1\u8a31\u53ef\u8a2d\u5b9a\u306a\u3069\u3092\u884c\u3063\u3066\u3044\u305f\u3060\u3044\u3066\u304b\u3089\r\n\u6ce8\u6587\u30d5\u30a9\u30fc\u30e0\u306b\u3054\u5165\u529b\u304f\u3060\u3055\u3044\u3002<\/span><\/p>\r\n\r\n<h4 class=\"h4common mt50\">\u8ff7\u60d1\u30e1\u30fc\u30eb\u30d5\u30a9\u30eb\u30c0\u3092\u3054\u78ba\u8a8d\u304f\u3060\u3055\u3044<\/h4>\r\n<p>\u8ff7\u60d1\u30e1\u30fc\u30eb\u30d5\u30a3\u30eb\u30bf\u30fc\u3092\u3054\u5229\u7528\u306e\u5834\u5408\u3001\u307e\u305f\u306f\u3054\u5229\u7528\u304c\u7121\u304f\u3066\u3082\u56db\u65e5\u5e02\u5e02\u4e0a\u4e0b\u6c34\u9053\u5c40\u7dcf\u52d9\u8ab2\u304b\u3089\u306e\u3054\u6848\u5185\u30e1\u30fc\u30eb\u304c\u300e\u8ff7\u60d1\u30e1\u30fc\u30eb\u300f\u30d5\u30a9\u30eb\u30c0\u30fc\u306b\u632f\u308a\u5206\u3051\u3089\u308c\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002 \u56db\u65e5\u5e02\u5e02\u4e0a\u4e0b\u6c34\u9053\u5c40\u7dcf\u52d9\u8ab2\u304b\u3089\u306e\u30e1\u30fc\u30eb\u3092\u53d7\u4fe1\u3067\u304d\u308b\u3088\u3046\u3001\u4e0b\u8a18\u306e\u30d5\u30a3\u30eb\u30bf\u30fc\u8a2d\u5b9a\u3092\u3057\u3066\u304f\u3060\u3055\u3044\u3002<\/p>\r\n<h4 class=\"h4common mt50\">\u30b9\u30de\u30fc\u30c8\u30d5\u30a9\u30f3\u30fb\u643a\u5e2f\u96fb\u8a71\u304b\u3089\u9001\u4fe1\u306e\u5834\u5408<\/h4>\r\n<p>\u203b\u4e00\u822c\u7684\u306b\u30b9\u30de\u30fc\u30c8\u30d5\u30a9\u30f3\u30fb\u643a\u5e2f\u96fb\u8a71\u306e\u30e1\u30fc\u30eb\u306f\u3001\u643a\u5e2f\u4ee5\u5916\u304b\u3089\u306e\u30e1\u30fc\u30eb\u3092\u53d7\u4fe1\u3067\u304d\u306a\u3044\u3088\u3046\u306b\u521d\u671f\u8a2d\u5b9a\u3055\u308c\u3066\u3044\u307e\u3059\u3002<br>\r\n\u56db\u65e5\u5e02\u5e02\u4e0a\u4e0b\u6c34\u9053\u5c40\u7dcf\u52d9\u8ab2\u304b\u3089\u306e\u3054\u6848\u5185\u30c9\u30e1\u30a4\u30f3\u300c@city.yokkaichi.mie.jp\u300d\u3092\u30e1\u30fc\u30eb\u53d7\u4fe1\u8a31\u53ef\u8a2d\u5b9a\u306b\u3057\u3066\u304f\u3060\u3055\u3044\u3002<br>\r\n\u307e\u305f\u306f\u3001\u56db\u65e5\u5e02\u5e02\u4e0a\u4e0b\u6c34\u9053\u5c40\u7dcf\u52d9\u8ab2\u304b\u3089\u306e\u30e1\u30fc\u30eb\u300csuidousoumu@city.yokkaichi.mie.jp\u300d\u3092\u30e1\u30fc\u30eb\u53d7\u4fe1\u8a31\u53ef\u8a2d\u5b9a\u306b\u3057\u3066\u304f\u3060\u3055\u3044\u3002<\/p>\r\n<h4 class=\"h4common mt50\">\u30d5\u30ea\u30fc\u30e1\u30fc\u30eb\u304b\u3089\u9001\u4fe1\u306e\u5834\u5408<\/h4>\r\n<p><span class=\"font-weight-bold\">\u3010\u8ff7\u60d1\u30e1\u30fc\u30eb\u8a2d\u5b9a\u3067\u30e1\u30fc\u30eb\u30a2\u30c9\u30ec\u30b9\u304a\u3088\u3073\u30c9\u30e1\u30a4\u30f3\u6307\u5b9a\u3092\u3055\u308c\u3066\u3044\u308b\u5834\u5408\u3011<\/span><br>\r\n\u56db\u65e5\u5e02\u5e02\u4e0a\u4e0b\u6c34\u9053\u5c40\u7dcf\u52d9\u8ab2\u304b\u3089\u306e\u30e1\u30fc\u30eb\u300csuidousoumu@city.yokkaichi.mie.jp\u300d\u3092\u30e1\u30fc\u30eb\u53d7\u4fe1\u8a31\u53ef\u8a2d\u5b9a\u306b\u3057\u3066\u304f\u3060\u3055\u3044\u3002<br>\r\n\u203b\u30d5\u30ea\u30fc\u30e1\u30fc\u30eb\u306e\u5834\u5408\u3001\u5f37\u529b\u306a\u8ff7\u60d1\u30e1\u30fc\u30eb\u30d5\u30a3\u30eb\u30bf\u30fc\u304c\u8a2d\u5b9a\u3055\u308c\u3066\u3044\u308b\u5834\u5408\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\r\n<\/div>\r\n<\/section>\r\n<section class=\"bg-light-blue\">\r\n<div class=\"container\"><!-- \u3053\u3053\u304b\u3089\u30d1\u30fc\u30c4 -->\r\n<h4 class=\"h4\">\u3054\u6ce8\u6587\u30d5\u30a9\u30fc\u30e0<\/h4>\r\n\r\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f2351-o1\" lang=\"ja\" dir=\"ltr\" data-wpcf7-id=\"2351\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<script type=\"text\/javascript\" charset=\"UTF-8\" src=\"https:\/\/zipaddr.github.io\/zipaddrx.js?v=1.41\"><\/script><script type=\"text\/javascript\" charset=\"UTF-8\">function zipaddr_ownb(){ZP.dli='-';ZP.wp='1';ZP.uver='83534.21191.92652';ZP.sysid='ContactForm7';}<\/script><script type=\"text\/javascript\" charset=\"UTF-8\" src=\"https:\/\/zipaddr.github.io\/contactform7.js\"><\/script><form action=\"\/new_water\/wp-json\/wp\/v2\/pages\/2341#wpcf7-f2351-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"\u30b3\u30f3\u30bf\u30af\u30c8\u30d5\u30a9\u30fc\u30e0\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"2351\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.3\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"ja\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f2351-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_group_fields\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_visible_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_repeaters\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_steps\" value=\"{}\" \/><input type=\"hidden\" name=\"_wpcf7cf_options\" value=\"{&quot;form_id&quot;:2351,&quot;conditions&quot;:[{&quot;then_field&quot;:&quot;juusyo&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;your-receive&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;\\u9001\\u6599\\u7740\\u6255\\u3044\\u304a\\u53d7\\u3051\\u53d6\\u308a&quot;}]}],&quot;settings&quot;:{&quot;animation&quot;:&quot;yes&quot;,&quot;animation_intime&quot;:200,&quot;animation_outtime&quot;:200,&quot;conditions_ui&quot;:&quot;normal&quot;,&quot;notice_dismissed&quot;:false,&quot;notice_dismissed_update-cf7-5.8.4&quot;:true,&quot;notice_dismissed_rollback-cf7-5.9.5&quot;:true,&quot;notice_dismissed_rollback-cf7-6.0.1&quot;:true}}\" \/>\n<\/fieldset>\n<ul class=\"table-res-form\"><span class=\"p-country-name\" style=\"display:none;\">Japan<\/span>\n\t<li>\n\t\t<div>\n\t\t\t<p>\u304a\u540d\u524d<br \/>\n<span class=\"requied\">(\u5fc5\u9808)<\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/li>\n\t<li>\n\t\t<div>\n\t\t\t<p>\u3075\u308a\u304c\u306a<br \/>\n<span class=\"requied\">(\u5fc5\u9808)<\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-furigana\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-furigana\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/li>\n\t<li>\n\t\t<div>\n\t\t\t<p>\u304a\u96fb\u8a71\u756a\u53f7<br \/>\n<span class=\"requied\">(\u5fc5\u9808)<\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-telnum\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\u4f8b\uff09000-000-0000\" value=\"\" type=\"tel\" name=\"your-telnum\" \/><\/span>\n\t\t\t<\/p>\n\t\t\t<p><small> \u203b\u534a\u89d2\u82f1\u6570<br \/>\n\u203b\u65e5\u4e2d\u306b\u9023\u7d61\u306e\u3064\u304f\u3054\u9023\u7d61\u5148\u3092\u3054\u5165\u529b\u304f\u3060\u3055\u3044<\/small>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/li>\n\t<li>\n\t\t<div>\n\t\t\t<p>\u30e1\u30fc\u30eb\u30a2\u30c9\u30ec\u30b9<br \/>\n<span class=\"requied\">(\u5fc5\u9808)<\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\u4f8b\uff09info@sample.com\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span>\n\t\t\t<\/p>\n\t\t\t<p><small> \u203b\u534a\u89d2\u82f1\u6570<\/small>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/li>\n\t<li>\n\t\t<div>\n\t\t\t<p>\u30e1\u30fc\u30eb\u30a2\u30c9\u30ec\u30b9\uff08\u78ba\u8a8d\u7528\uff09<br \/>\n<span class=\"requied\">(\u5fc5\u9808)<\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\u4f8b\uff09info@sample.com\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span>\n\t\t\t<\/p>\n\t\t\t<p><small> \u203b\u534a\u89d2\u82f1\u6570<\/small>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/li>\n\t<li>\n\t\t<div>\n\t\t\t<p>\u3054\u6ce8\u6587\u7bb1\u6570<br \/>\n<span class=\"requied\">(\u5fc5\u9808)<\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-order\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-order\" \/><\/span>\n\t\t\t<\/p>\n\t\t\t<p> \u7bb1\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/li>\n\t<li>\n\t\t<div>\n\t\t\t<p>\u5e0c\u671b\u3059\u308b\u304a\u53d7\u3051\u53d6\u308a\u65b9\u6cd5\u3092\u9078\u629e\u3057\u3066\u304f\u3060\u3055\u3044<br \/>\n<span class=\"requied\">(\u5fc5\u9808)<\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-receive\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"your-receive\" value=\"\u6765\u5c40\u304a\u53d7\u3051\u53d6\u308a\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">\u6765\u5c40\u304a\u53d7\u3051\u53d6\u308a<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"your-receive\" value=\"\u9001\u6599\u7740\u6255\u3044\u304a\u53d7\u3051\u53d6\u308a\" \/><span class=\"wpcf7-list-item-label\">\u9001\u6599\u7740\u6255\u3044\u304a\u53d7\u3051\u53d6\u308a<\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t\t<div data-id=\"juusyo\" data-orig_data_id=\"juusyo\"  class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t\t<p><small>\u3086\u3046\u30d1\u30c3\u30af\u306e\u7740\u6255\u3044\u624b\u6570\u6599\u306f<a href=\"https:\/\/www.post.japanpost.jp\/service\/you_pack\/charge\/ichiran\/24.html\" target=\"_blank\">\u3053\u3061\u3089<\/a>\u306b\u3066\u3054\u78ba\u8a8d\u4e0b\u3055\u3044<br \/>\n\u5dee\u51fa\u5730\uff1a\u4e09\u91cd\u770c \u2192 \u5b9b\u5148\u5730\uff1a\u304a\u5ba2\u69d8\u306e\u304a\u5c4a\u3051\u306e\u770c<br \/>\n\u6cd7\u6c34\u306e\u91cc24\u672c\u5165\u00d71\u7bb1\uff1a100\u30b5\u30a4\u30ba\u3067\u304a\u8abf\u3079\u304f\u3060\u3055\u3044<\/small>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/li>\n\t<div data-id=\"juusyo\" data-orig_data_id=\"juusyo\"  class=\"\" data-class=\"wpcf7cf_group\">\n\t\t<li>\n\t\t\t<div>\n\t\t\t\t<p>\u90f5\u4fbf\u756a\u53f7<br \/>\n<span class=\"requied\">(\u5fc5\u9808)<\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"zip\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"zip\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"zip\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/li>\n\t\t<li>\n\t\t\t<div>\n\t\t\t\t<p>\u90fd\u9053\u5e9c\u770c<br \/>\n<span class=\"requied\">(\u5fc5\u9808)<\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"pref\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"pref\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"pref\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/li>\n\t\t<li>\n\t\t\t<div>\n\t\t\t\t<p>\u5e02\u533a\u753a\u6751<br \/>\n<span class=\"requied\">(\u5fc5\u9808)<\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"city\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"city\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"city\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/li>\n\t\t<li>\n\t\t\t<div>\n\t\t\t\t<p>\u305d\u308c\u4ee5\u964d\u306e\u4f4f\u6240<br \/>\n<span class=\"requied\">(\u5fc5\u9808)<\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"addr\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"addr\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"addr\" 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