app/template/user_data/dataform.twig line 1

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  1. {% extends 'default_frame.twig' %}
  3. {% block main %}
  4. <div
  5.         class="main-top">
  6.         {# ページタイトル #}
  7.         <div id="pagetitle">
  8.             <h2>
  9.                 DATA FORM
  10.                 <small>データ入稿フォーム</small>
  11.             </h2>
  12.             <div class="image">
  13.                 <img src="{{ asset('assets/assets/images/pagetitle-image-beginners.jpg') }}">
  14.             </div>
  15.         </div>
  16.     </div>
  19.     <div class="heading1">
  20.         <h2>
  21.             入稿フォーム
  22.         </h2>
  23.     </div>
  25.     <div class="txtset">
  26.         <p>
  27.         <span class="red">「※」がついた項目は必須入力です。</span><br>
  28.             7MB以下のデータで送信ください。それを超える場合はストレージサービスをご利用ください
  29.         </p>
  30.     </div>
  32.     
  33.     <form class="miniSurveyView" action="/dataconfilm/mail.php" method="post" enctype="multipart/form-data">
  34.         <table class="formBlockSurveyTable">
  35.             <tbody>
  38.                 <tr>
  39.                     <td style="vertical-align:top" class="question">
  40.                         <label for="Question1">貴社名&nbsp;<span class="required">*</span>
  41.                         </label>
  42.                     </td>
  43.                     <td style="vertical-align:top"><input name="貴社名" id="Question1" type="text" value="" required="required"></td>
  44.                 </tr>
  46.                 <tr>
  47.                     <td style="vertical-align:top" class="question">
  48.                         <label for="Question2">お名前
  49.                         </label>
  50.                     </td>
  51.                     <td style="vertical-align:top"><input name="お名前" id="Question2" type="text" value="" ></td>
  52.                 </tr>
  55.                 <tr>
  56.                     <td style="vertical-align:top" class="question">
  57.                         <label for="Question3">メールアドレス&nbsp;<span class="required">*</span>
  58.                         </label>
  59.                     </td>
  60.                     <td style="vertical-align:top"><input name="メールアドレス" id="Question3" type="email" value="" required="required"></td>
  61.                 </tr>
  63.                 <tr>
  64.                     <td style="vertical-align:top" class="question">
  65.                         <label for="Question4">メールアドレス(確認)&nbsp;<span class="required">*</span>
  66.                         </label>
  67.                     </td>
  68.                     <td style="vertical-align:top"><input name="メールアドレス(確認)" id="Question4" type="email" value="" required="required"></td>
  69.                 </tr>
  71.                 <tr>
  72.                     <td style="vertical-align:top" class="question">
  73.                         <label for="">入稿データ1 商品名&nbsp;<span class="required">*</span>
  74.                         </label>
  75.                     </td>
  76.                     <td style="vertical-align:top"><input name="入稿データ1商品名" id="" type="text" value="" required="required"></td>
  77.                 </tr>
  80.                 <tr>
  81.                     <td style="vertical-align:top" class="question">
  82.                         <label for="">入稿データ1
  83.                         </label>
  84.                     </td>
  85.                     <td style="vertical-align:top"><input type="file" name="upfile[]"/></td>
  86.                 </tr>
  89.                 <tr>
  90.                     <td style="vertical-align:top" class="question">
  91.                         <label for="">入稿データ1 URL</label>
  92.                     </td>
  93.                     <td style="vertical-align:top"><input name="入稿データ1URL" id="" type="text" value="" >
  94.                         ストレージサービスをご利用の場合はURLを記入ください</td>
  95.                 </tr>
  98.                 <tr>
  99.                     <td style="vertical-align:top" class="question">
  100.                         <label for="">入稿データ2 商品名
  101.                         </label>
  102.                     </td>
  103.                     <td style="vertical-align:top"><input name="入稿データ2商品名" id="" type="text" value="" ></td>
  104.                 </tr>
  107.                 <tr>
  108.                     <td style="vertical-align:top" class="question">
  109.                         <label for="">入稿データ2
  110.                         </label>
  111.                     </td>
  112.                     <td style="vertical-align:top"><input type="file" name="upfile[]"/></td>
  113.                 </tr>
  116.                 <tr>
  117.                     <td style="vertical-align:top" class="question">
  118.                         <label for="">入稿データ2 URL</label>
  119.                     </td>
  120.                     <td style="vertical-align:top"><input name="入稿データ2URL" id="" type="text" value="" >
  121.                         ストレージサービスをご利用の場合はURLを記入ください</td>
  122.                 </tr>
  125.                 <tr>
  126.                     <td style="vertical-align:top" class="question">
  127.                         <label for="">入稿データ3 商品名
  128.                         </label>
  129.                     </td>
  130.                     <td style="vertical-align:top"><input name="入稿データ3商品名" id="" type="text" value="" ></td>
  131.                 </tr>
  134.                 <tr>
  135.                     <td style="vertical-align:top" class="question">
  136.                         <label for="">入稿データ3
  137.                         </label>
  138.                     </td>
  139.                     <td style="vertical-align:top"><input type="file" name="upfile[]"/></td>
  140.                 </tr>
  143.                 <tr>
  144.                     <td style="vertical-align:top" class="question">
  145.                         <label for="">入稿データ3 URL</label>
  146.                     </td>
  147.                     <td style="vertical-align:top"><input name="入稿データ3URL" id="" type="text" value="" >
  148.                         ストレージサービスをご利用の場合はURLを記入ください</td>
  149.                 </tr>
  152.                 <tr>
  153.                     <td>&nbsp;</td>
  154.                     <td>
  155.                         <input class="formBlockSubmitButton ccm-input-button" type="submit" value="確認 "/>
  156.                     </td>
  157.                 </tr>
  158.             </tbody>
  159.         </table>
  160.     </form>
  163. {% endblock %}