{"id":148,"date":"2013-01-29T22:04:40","date_gmt":"2013-01-29T13:04:40","guid":{"rendered":"http:\/\/sanwa-y.heteml.jp\/wordpress\/?page_id=148"},"modified":"2021-07-15T11:14:02","modified_gmt":"2021-07-15T02:14:02","slug":"order","status":"publish","type":"page","link":"https:\/\/sanwa-y.mkwork.work\/medicine\/order.html","title":{"rendered":"\u304a\u7533\u8fbc\u307f"},"content":{"rendered":"<h3><img loading=\"lazy\" src=\"https:\/\/sanwa-y.mkwork.work\/medicine\/wp-content\/themes\/sanwa\/images\/subpage_title_order_form.png\" width=\"726\" height=\"56\" alt=\"\u304a\u7533\u8fbc\u307f\u30d5\u30a9\u30fc\u30e0\"><\/h3>\n<section class=\"content-left-section\">\n<div class=\"wpcf7\" id=\"wpcf7-f174-p148-o1\"><form action=\"\/medicine\/wp-json\/wp\/v2\/pages\/148#wpcf7-f174-p148-o1\" method=\"post\" class=\"wpcf7-form\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"174\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"3.3.3\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f174-p148-o1\" \/>\n<input type=\"hidden\" name=\"_wpnonce\" value=\"47c1907154\" \/>\n<\/div>\n<p>\u6551\u6025\u7bb1\u306e\u304a\u7533\u8fbc\u306f\u3001\u4e0b\u8a18\u30d5\u30a9\u30fc\u30e0\u3088\u308a\u304a\u7533\u3057\u8fbc\u307f\u4e0b\u3055\u3044\u3002<\/p>\n<table class=\"table-normal\">\n<tr>\n<th>\u500b\u4eba\uff0f\u6cd5\u4eba\uff08\u5fc5\u9808\uff09<\/th>\n<td><span class=\"wpcf7-form-control-wrap group\"><span class=\"wpcf7-form-control  wpcf7-radio\"><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"group\" value=\"\u500b\u4eba\" \/>&nbsp;<span class=\"wpcf7-list-item-label\">\u500b\u4eba<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"group\" value=\"\u6cd5\u4eba\" \/>&nbsp;<span class=\"wpcf7-list-item-label\">\u6cd5\u4eba<\/span><\/span><\/span><\/span><\/td>\n<\/tr>\n<tr>\n<th>\u304a\u540d\u524d (\u5fc5\u9808)<\/th>\n<td><span class=\"wpcf7-form-control-wrap your-name\"><input type=\"text\" name=\"your-name\" value=\"\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" size=\"40\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<th>\u4f1a\u793e\u540d<\/th>\n<td><span class=\"wpcf7-form-control-wrap company-name\"><input type=\"text\" name=\"company-name\" value=\"\" class=\"wpcf7-form-control wpcf7-text\" size=\"40\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<th>\u90e8\u7f72<\/th>\n<td><span class=\"wpcf7-form-control-wrap division\"><input type=\"text\" name=\"division\" value=\"\" class=\"wpcf7-form-control wpcf7-text\" size=\"40\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<th>\u4f4f\u6240 (\u5fc5\u9808)<\/th>\n<td><span class=\"wpcf7-form-control-wrap address\"><input type=\"text\" name=\"address\" value=\"\" class=\"wpcf7-form-control wpcf7-text\" size=\"40\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<th>\u96fb\u8a71\u756a\u53f7 (\u5fc5\u9808)<\/th>\n<td><span class=\"wpcf7-form-control-wrap phone-number\"><input type=\"text\" name=\"phone-number\" value=\"\" class=\"wpcf7-form-control wpcf7-text\" size=\"40\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<th>\u9023\u7d61\u5e0c\u671b\u6642\u9593\u5e2f (\u5fc5\u9808)<\/th>\n<td><span class=\"wpcf7-form-control-wrap call-time\"><input type=\"text\" name=\"call-time\" value=\"\" class=\"wpcf7-form-control wpcf7-text\" size=\"40\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<th>\u5099\u8003\u6b04<\/th>\n<td><span class=\"wpcf7-form-control-wrap memo\"><textarea name=\"memo\" class=\"wpcf7-form-control  wpcf7-textarea\" cols=\"40\" rows=\"10\"><\/textarea><\/span><\/td>\n<\/tr>\n<\/table>\n<p class=\"btn-submit\"><input type=\"submit\" value=\"\u9001\u4fe1\" class=\"wpcf7-form-control  wpcf7-submit\" \/><\/p>\n<div class=\"wpcf7-response-output wpcf7-display-none\"><\/div><\/form><\/div><br \/>\n<\/section>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"open","ping_status":"open","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/sanwa-y.mkwork.work\/medicine\/wp-json\/wp\/v2\/pages\/148"}],"collection":[{"href":"https:\/\/sanwa-y.mkwork.work\/medicine\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/sanwa-y.mkwork.work\/medicine\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/sanwa-y.mkwork.work\/medicine\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/sanwa-y.mkwork.work\/medicine\/wp-json\/wp\/v2\/comments?post=148"}],"version-history":[{"count":4,"href":"https:\/\/sanwa-y.mkwork.work\/medicine\/wp-json\/wp\/v2\/pages\/148\/revisions"}],"predecessor-version":[{"id":280,"href":"https:\/\/sanwa-y.mkwork.work\/medicine\/wp-json\/wp\/v2\/pages\/148\/revisions\/280"}],"wp:attachment":[{"href":"https:\/\/sanwa-y.mkwork.work\/medicine\/wp-json\/wp\/v2\/media?parent=148"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}