{#
This file is part of EC-CUBE
Copyright(c) EC-CUBE CO.,LTD. All Rights Reserved.
http://www.ec-cube.co.jp/
For the full copyright and license information, please view the LICENSE
file that was distributed with this source code.
#}
{% extends 'default_frame.twig' %}
{% form_theme form 'Form/form_div_layout.twig' %}
{% block javascript %}
<script src="//yubinbango.github.io/yubinbango/yubinbango.js" charset="UTF-8"></script>
{% endblock javascript %}
{% block main %}
<div class="ec-contactRole">
<div class="ec-pageHeader">
<h1>{{ 'お問合せ(入力ページ)'|trans }}</h1>
</div>
<div class="ec-off1Grid">
<div class="ec-off1Grid__cell">
<form method="post" action="{{ url('contact') }}" class="h-adr" novalidate>
<span class="p-country-name" style="display:none;">Japan</span>
{{ form_widget(form._token) }}
{# <p class="ec-para-normal">{{ '内容によっては回答をさしあげるのにお時間をいただくこともございます。また、休業日は翌営業日以降の対応となりますのでご了承ください。'|trans|nl2br }}</p> #}
<div class="ec-borderedDefs">
<dl>
<dt class="ec-radiopd">
{{ form_label(form.requester, 'ご依頼者様情報', { 'label_attr': { 'class': 'ec-label' }}) }}
</dt>
<dd>
<div class="ec-radio{{ has_errors(form.requester) ? ' error' }}">
{{ form_widget(form.requester) }}
{{ form_errors(form.requester) }}
</div>
</dd>
</dl>
<dl>
<dt>
{{ form_label(form.name, 'お名前・ご法人様名', { 'label_attr': { 'class': 'ec-label' }}) }}
</dt>
<dd class="dd_box_name">
<div class="ec-input{{ has_errors(form.name) ? ' error' }}">
{{ form_widget(form.name, {'attr': { 'placeholder': '名字_名前/ご法人様名' }}) }}
{{ form_errors(form.name) }}
</div>
<div class="ec-input">
{{ form_widget(form.manager_name, {'attr': { 'placeholder': 'ご担当者様名' }}) }}
{{ form_errors(form.manager_name) }}
</div>
</dd>
</dl>
<dl>
<dt>
{{ form_label(form.kana, 'お名前・ご法人様名/フリガナ', {'label_attr': {'class': 'ec-label'}}) }}
</dt>
<dd class="dd_box_name">
<div class="ec-input{{ has_errors(form.kana.kana01) ? ' error' }}">
{{ form_widget(form.kana.kana01, {'attr': { 'placeholder': 'ミョウジ_ナマエ/ゴホウジンサマメイ' }}) }}
{{ form_errors(form.kana.kana01) }}
</div>
<div class="ec-input{{ has_errors(form.manager_kana) ? ' error' }}">
{{ form_widget(form.manager_kana, {'attr': { 'placeholder': 'ゴタントウシャ' }}) }}
{{ form_errors(form.manager_kana) }}
</div>
</dd>
</dl>
<dl>
<dt>
{{ form_label(form.address, '住所', { 'label_attr': { 'class': 'ec-label' }}) }}
</dt>
<dd>
<div class="ec-zipInput{{ has_errors(form.postal_code) ? ' error' }}">
<span>{{ '〒'|trans }}</span>
{{ form_widget(form.postal_code) }}
{{ form_errors(form.postal_code) }}
</div>
<div class="ec-zipInputHelp">
<div class="ec-zipInputHelp__icon">
<div class="ec-icon"><img
src="{{ asset('assets/icon/question-white.svg') }}" alt="">
</div>
</div><a href="https://www.post.japanpost.jp/zipcode/" target="_blank"><span>{{ '郵便番号検索'|trans }}</span></a>
</div>
{{ form_errors(form.postal_code) }}
<div class="ec-select{{ has_errors(form.address.pref) ? ' error' }}">
{{ form_widget(form.address.pref) }}
{{ form_errors(form.address.pref) }}
</div>
<div class="ec-input{{ has_errors(form.address.addr01) ? ' error' }}">
{{ form_widget(form.address.addr01, { 'attr': { 'placeholder': '都道府県・市町村名(例:千代田区神田神保町)' }}) }}
{{ form_errors(form.address.addr01) }}
</div>
<div class="ec-input{{ has_errors(form.address.addr02) ? ' error' }}">
{{ form_widget(form.address.addr02, { 'attr': { 'placeholder': '番地・ビル名(例:1-3-5)' }}) }}
{{ form_errors(form.address.addr02) }}
</div>
</dd>
</dl>
<dl>
<dt>
{{ form_label(form.phone_number, '電話番号', { 'label_attr': { 'class': 'ec-label' }}) }}
</dt>
<dd>
<div class="ec-telInput{{ has_errors(form.phone_number.phone_number01, form.phone_number.phone_number02, form.phone_number.phone_number03) ? ' error' }}">
<div class="hyphen">{{ form_widget(form.phone_number.phone_number01) }}{{ form_errors(form.phone_number.phone_number01) }}</div>
<div class="hyphen">{{ form_widget(form.phone_number.phone_number02) }}{{ form_errors(form.phone_number.phone_number02) }}</div>
<div>{{ form_widget(form.phone_number.phone_number03) }}{{ form_errors(form.phone_number.phone_number03) }}</div>
</div>
<small class="attention">※お電話番号のご入力が無い場合はメールでのご対応となります。</small>
</dd>
</dl>
<dl>
<dt>
{{ form_label(form.fax, 'ファックス番号', { 'label_attr': { 'class': 'ec-label' }}) }}
</dt>
<dd>
<div class="ec-telInput{{ has_errors(form.fax.fax01, form.fax.fax02, form.fax.fax03) ? ' error' }}">
<div class="hyphen">{{ form_widget(form.fax.fax01) }}{{ form_errors(form.fax.fax01) }}</div>
<div class="hyphen">{{ form_widget(form.fax.fax02) }}{{ form_errors(form.fax.fax02) }}</div>
<div>{{ form_widget(form.fax.fax03) }}{{ form_errors(form.fax.fax03) }}</div>
</div>
</dd>
</dl>
<dl>
<dt>
{{ form_label(form.email, 'メールアドレス', { 'label_attr': { 'class': 'ec-label' }}) }}
</dt>
<dd>
<div class="ec-input{{ has_errors(form.email) ? ' error' }}">
{{ form_widget(form.email.first) }}
{{ form_errors(form.email.first) }}
{{ form_widget(form.email.second) }}
{{ form_errors(form.email.second) }}
</div>
</dd>
</dl>
<dl>
<dt>
{{ form_label(form.product_number, '商品型式', { 'label_attr': { 'class': 'ec-label' }}) }}
</dt>
<dd class="dd_box">
<div class="ec-input{{ has_errors(form.product_number) ? ' error' }}" style="max-width: 160px;">
{{ form_widget(form.product_number, { 'attr': { 'placeholder': '例)MAC-20' }}) }}
{{ form_errors(form.product_number) }}
</div>
<div class="dd_box">
{{ form_label(form.order_no, 'ご注文Noをお持ちのお客様', { 'label_attr': { 'class': 'ec-label' }}) }}
<div class="dd_box ec-input{{ has_errors(form.order_no) ? ' error' }}">
{{ form_widget(form.order_no, { 'attr': { 'placeholder': 'ご注文No.' }}) }}
{{ form_errors(form.order_no) }}
</div>
</div>
</dd>
</dl>
<dl>
<dt>
{{ form_label(form.product_name, '商品名', { 'label_attr': { 'class': 'ec-label' }}) }}
</dt>
<dd>
<div class="ec-input{{ has_errors(form.product_name) ? ' error' }}">
{{ form_widget(form.product_name) }}
{{ form_errors(form.product_name) }}
</div>
</dd>
</dl>
<dl>
<dt class="ec-radiopd">
{{ form_label(form.estimate, 'お見積り', { 'label_attr': { 'class': 'ec-label' }}) }}
</dt>
<dd>
<div class="dd_box">
<div class="ec-radio{{ has_errors(form.estimate) ? ' error' }}">
{{ form_widget(form.estimate) }}
{{ form_errors(form.estimate) }}
</div>
<div class="dd_box">
{{ form_label(form.estimate, '台数', { 'label_attr': { 'class': 'ec-label' }}) }}
<div class="ec-input{{ has_errors(form.num) ? ' error' }}">
{{ form_widget(form.num) }}
{{ form_errors(form.num) }}
</div>
</div>
</div>
<small class="attention">※お見積りはご依頼頂きましたメールアドレスへPDFにてご返信いたします。</small>
<small class="attention">※部品の取扱・販売はございません。(当ショップにて製品をご購入いただいたお客様を除きます)</small>
</dd>
</dl>
<dl>
<dt>
{{ form_label(form.contents, 'お問い合わせ内容', { 'label_attr': { 'class': 'ec-label' }}) }}
</dt>
<dd>
<div class="ec-input{{ has_errors(form.contents) ? ' error' }}">
{{ form_widget(form.contents, { 'attr': { 'placeholder': 'お問い合わせ内容をこちらにご記入下さい。' }}) }}
{{ form_errors(form.contents) }}
</div>
</dd>
</dl>
{# エンティティ拡張の自動出力 #}
{% for f in form if f.vars.eccube_form_options.auto_render %}
{% if f.vars.eccube_form_options.form_theme %}
{% form_theme f f.vars.eccube_form_options.form_theme %}
{{ form_row(f) }}
{% else %}
<dl>
<dt>
{{ form_label(f) }}
</dt>
<dd>
<div class="{{ f.vars.eccube_form_options.style_class }}{{ has_errors(f) ? ' error' }}">
{{ form_widget(f) }}
{{ form_errors(f) }}
</div>
</dd>
</dl>
{% endif %}
{% endfor %}
</div>
<div class="ec-RegisterRole__actions">
<div class="ec-off4Grid">
<div class="ec-off4Grid__cell">
<button type="submit" class="ec-blockBtn--action" name="mode" value="confirm">{{ '確認ページへ'|trans }}
</button>
</div>
</div>
</div>
</form>
</div>
</div>
</div>
{% endblock %}