{"id":11311,"date":"2026-05-29T11:02:26","date_gmt":"2026-05-29T02:02:26","guid":{"rendered":"https:\/\/anelli-wedding.com\/omiya\/?page_id=11311"},"modified":"2026-05-29T11:03:59","modified_gmt":"2026-05-29T02:03:59","slug":"contact_m","status":"publish","type":"page","link":"https:\/\/anelli-wedding.com\/omiya\/contact_m\/","title":{"rendered":"\u3054\u5bb4\u4f1a\u306e\u304a\u554f\u5408\u305b"},"content":{"rendered":"\n<div class=\"wp-block-group u-mt-0\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<h1 class=\"wp-block-heading has-text-align-center en u-mt-0 has-arkb-en-title-color has-text-color\" style=\"font-size:3rem;line-height:1.1\">CONTACT<\/h1>\n\n\n\n<p class=\"has-text-align-center u-mt-0\" style=\"font-size:0.85rem\">\u3054\u5bb4\u4f1a\u306e\u304a\u554f\u5408\u305b<\/p>\n\n\n\n<div aria-hidden=\"true\" class=\"wp-block-fsb-flexible-spacer fsb-flexible-spacer\"><div class=\"fsb-flexible-spacer__device fsb-flexible-spacer__device--lg\" style=\"height:36px\"><\/div><div class=\"fsb-flexible-spacer__device fsb-flexible-spacer__device--md\" style=\"height:36px\"><\/div><div class=\"fsb-flexible-spacer__device fsb-flexible-spacer__device--sm\" style=\"height:36px\"><\/div><\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-group l-form-container u-mt-0\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\"><ol class=\"brick-flow brick-flow--step-3\">\n  <li class=\"brick-flow__step brick-flow__step--current\">\n    <span>\u5165\u529b\u753b\u9762<\/span>\n  <\/li>\n  <li class=\"brick-flow__step \">\n    <span>\u78ba\u8a8d\u753b\u9762<\/span>\n  <\/li>\n  <li class=\"brick-flow__step \">\n    <span>\u5b8c\u4e86\u753b\u9762<\/span>\n  <\/li>\n<\/ol>\n\n\n\n<div class=\"wp-block-group l-form-container__inner\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\"><form\n  action=\"?param=confirm\"\n  method=\"POST\"\n  enctype=\"application\/x-www-form-urlencoded\"\n  class=\"js__brick_form\"\n  data-validation-rules=\"{&quot;name01&quot;:{&quot;required&quot;:true},&quot;kana01&quot;:{&quot;required&quot;:true},&quot;tel&quot;:{&quot;required&quot;:true,&quot;tel&quot;:true},&quot;email&quot;:{&quot;required&quot;:true,&quot;email&quot;:true},&quot;zip&quot;:{&quot;zip&quot;:true},&quot;address&quot;:{&quot;address&quot;:true},&quot;date&quot;:{&quot;required&quot;:true},&quot;schedule&quot;:{&quot;required&quot;:true},&quot;content&quot;:{&quot;required&quot;:true},&quot;layout&quot;:{&quot;required&quot;:true},&quot;dine&quot;:{&quot;required&quot;:true},&quot;budget&quot;:{&quot;required&quot;:true},&quot;people&quot;:{&quot;required&quot;:true}}\"\n  data-autokana=\"{&quot;name01&quot;:{&quot;target&quot;:&quot;kana01&quot;,&quot;katakana&quot;:false}}\"\n  data-zip2addr=\"{&quot;zip&quot;:[&quot;pref&quot;,&quot;address&quot;]}\"\n>\n  <div class=\"brick-form\">\n    <div class=\"brick-form__content\">\n      <div class=\"brick-form__block form__block-step1\">\n  \n<div class=\"\n  brick-form__row\n  brick-form__row--step-input\n  brick-form__row--optional\n  brick-form__row-name-company\n\">\n  <div class=\"brick-form__row-header\">\n    <h4 class=\"brick-form__label\">\n      <label for=\"brick-form__field-name-company\">\u3054\u4e3b\u50ac\u8005\u540d\uff08\u4f1a\u793e\u540d\u3001\u5b66\u6821\u540d\u306a\u3069\uff09<\/label>\n    <\/h4>\n  <\/div>\n  <!-- \/.brick-form__row-header -->\n\n  <div class=\"brick-form__row-body\">\n    <div class=\"brick-form__field-group\">\n        <div class=\"\n  brick-form__field-unit\n  brick-form__field-unit-text\n  brick-form__field-unit--step-input\n  brick-form__field-unit--optional\n  brick-form__field-unit-name-company\n\">\n  <div class=\"brick-form__field\">\n    <input\n      id=\"brick-form__field-name-company\"\n      class=\"brick-form__field-name-company\"\n      type=\"text\"\n      name=\"company\"\n      value=\"\"\n      placeholder=\"\u4f8b\uff09\u682a\u5f0f\u4f1a\u793e\u25cb\u25b3\u25fb\ufe0e\"\n      \n      \n    >\n  <\/div>\n  <!-- \/.brick-form__field -->\n<\/div>\n<!-- \/.brick-form__field-unit.brick-form__field-unit-text -->\n\n    <\/div>\n    <!-- \/.brick-form__field-group -->\n\n    <div class=\"brick-form__message\"><\/div>\n\n  <\/div>\n  <!-- \/.brick-form__row-body -->\n<\/div>\n<!-- \/.brick-form__row -->\n\n  \n<div class=\"\n  brick-form__row\n  brick-form__row--step-input\n  brick-form__row--required\n  brick-form__row-name-name01\n\">\n  <div class=\"brick-form__row-header\">\n    <h4 class=\"brick-form__label\">\n      <label for=\"brick-form__field-name-name01\">\u304a\u540d\u524d<\/label>\n    <\/h4>\n  <\/div>\n  <!-- \/.brick-form__row-header -->\n\n  <div class=\"brick-form__row-body\">\n    <div class=\"brick-form__field-group\">\n        <div class=\"\n  brick-form__field-unit\n  brick-form__field-unit-text\n  brick-form__field-unit--step-input\n  brick-form__field-unit--required\n  brick-form__field-unit-name-name01\n\">\n  <div class=\"brick-form__field\">\n    <input\n      id=\"brick-form__field-name-name01\"\n      class=\"brick-form__field-name-name01\"\n      type=\"text\"\n      name=\"name01\"\n      value=\"\"\n      placeholder=\"\u4f8b\uff09\u5c71\u7530\u3000\u82b1\u5b50\"\n      required\n      autocomplete=\"name\"\n    >\n  <\/div>\n  <!-- \/.brick-form__field -->\n<\/div>\n<!-- \/.brick-form__field-unit.brick-form__field-unit-text -->\n\n    <\/div>\n    <!-- \/.brick-form__field-group -->\n\n    <div class=\"brick-form__message\"><\/div>\n\n  <\/div>\n  <!-- \/.brick-form__row-body -->\n<\/div>\n<!-- \/.brick-form__row -->\n\n  \n<div class=\"\n  brick-form__row\n  brick-form__row--step-input\n  brick-form__row--required\n  brick-form__row-name-kana01\n\">\n  <div class=\"brick-form__row-header\">\n    <h4 class=\"brick-form__label\">\n      <label for=\"brick-form__field-name-kana01\">\u3075\u308a\u304c\u306a<\/label>\n    <\/h4>\n  <\/div>\n  <!-- \/.brick-form__row-header -->\n\n  <div class=\"brick-form__row-body\">\n    <div class=\"brick-form__field-group\">\n        <div class=\"\n  brick-form__field-unit\n  brick-form__field-unit-text\n  brick-form__field-unit--step-input\n  brick-form__field-unit--required\n  brick-form__field-unit-name-kana01\n\">\n  <div class=\"brick-form__field\">\n    <input\n      id=\"brick-form__field-name-kana01\"\n      class=\"brick-form__field-name-kana01\"\n      type=\"text\"\n      name=\"kana01\"\n      value=\"\"\n      placeholder=\"\u4f8b\uff09\u3084\u307e\u3060\u3000\u306f\u306a\u3053\"\n      required\n      \n    >\n  <\/div>\n  <!-- \/.brick-form__field -->\n<\/div>\n<!-- \/.brick-form__field-unit.brick-form__field-unit-text -->\n\n    <\/div>\n    <!-- \/.brick-form__field-group -->\n\n    <div class=\"brick-form__message\"><\/div>\n\n  <\/div>\n  <!-- \/.brick-form__row-body -->\n<\/div>\n<!-- \/.brick-form__row -->\n\n  \n<div class=\"\n  brick-form__row\n  brick-form__row--step-input\n  brick-form__row--required\n  brick-form__row-name-tel\n\">\n  <div class=\"brick-form__row-header\">\n    <h4 class=\"brick-form__label\">\n      <label for=\"brick-form__field-name-tel\">\u643a\u5e2f\u756a\u53f7<\/label>\n    <\/h4>\n  <\/div>\n  <!-- \/.brick-form__row-header -->\n\n  <div class=\"brick-form__row-body\">\n    <div class=\"brick-form__field-group\">\n        <div class=\"\n  brick-form__field-unit\n  brick-form__field-unit-tel\n  brick-form__field-unit--required\n  brick-form__field-unit-name-tel\n\">\n  <div class=\"brick-form__field\">\n    <input\n      id=\"brick-form__field-name-tel\"\n      class=\"brick-form__field-name-tel\"\n      type=\"tel\"\n      name=\"tel\"\n      value=\"\"\n      placeholder=\"\u4f8b\uff0909012345678\"\n      inputmode=\"tel\"\n      pattern=\"[0-9\\-]*\"\n      autocomplete=\"tel-national\"\n      required\n      \n    >\n  <\/div>\n  <!-- \/.brick-form__field -->\n<\/div>\n<!-- \/.brick-form__field-unit.brick-form__field-unit-tel -->\n\n    <\/div>\n    <!-- \/.brick-form__field-group -->\n\n    <div class=\"brick-form__message\"><\/div>\n\n  <\/div>\n  <!-- \/.brick-form__row-body -->\n<\/div>\n<!-- \/.brick-form__row -->\n\n  \n<div class=\"\n  brick-form__row\n  brick-form__row--step-input\n  brick-form__row--required\n  brick-form__row-name-email\n\">\n  <div class=\"brick-form__row-header\">\n    <h4 class=\"brick-form__label\">\n      <label for=\"brick-form__field-name-email\">\u30e1\u30fc\u30eb\u30a2\u30c9\u30ec\u30b9<\/label>\n    <\/h4>\n  <\/div>\n  <!-- \/.brick-form__row-header -->\n\n  <div class=\"brick-form__row-body\">\n    <div class=\"brick-form__field-group\">\n        <div class=\"\n  brick-form__field-unit\n  brick-form__field-unit-email\n  brick-form__field-unit--required\n  brick-form__field-unit-name-email\n\">\n  <div class=\"brick-form__field\">\n    <input\n      id=\"brick-form__field-name-email\"\n      class=\"brick-form__field-name-email\"\n      type=\"email\"\n      name=\"email\"\n      value=\"\"\n      placeholder=\"\u4f8b\uff09yourname@yourdomain.com\"\n      inputmode=\"email\"\n      autocomplete=\"email\"\n      required\n      \n    >\n  <\/div>\n  <!-- \/.brick-form__field -->\n<\/div>\n<!-- \/.brick-form__field-unit.brick-form__field-unit-email -->\n\n    <\/div>\n    <!-- \/.brick-form__field-group -->\n\n    <div class=\"brick-form__message\"><\/div>\n\n    <div class=\"brick-form__body-notice\">\n      <div class=\"brick-form__body-notice-item\">\u30c9\u30e1\u30a4\u30f3\u6307\u5b9a\u53d7\u4fe1\u3092\u3055\u308c\u3066\u3044\u308b\u65b9\u306f\u300c@anelli.jp\u300d\u304b\u3089\u53d7\u4fe1\u3067\u304d\u308b\u3088\u3046\u8a2d\u5b9a\u3092\u304a\u9858\u3044\u3044\u305f\u3057\u307e\u3059\u3002<\/div>\n    <\/div>\n    <!-- \/.brick-form__body-notice -->\n  <\/div>\n  <!-- \/.brick-form__row-body -->\n<\/div>\n<!-- \/.brick-form__row -->\n\n  \n<div class=\"\n  brick-form__row\n  brick-form__row--step-input\n  brick-form__row--optional\n  brick-form__row-name-zip\n\">\n  <div class=\"brick-form__row-header\">\n    <h4 class=\"brick-form__label\">\n      <label for=\"brick-form__field-name-zip\">\u90f5\u4fbf\u756a\u53f7<\/label>\n    <\/h4>\n  <\/div>\n  <!-- \/.brick-form__row-header -->\n\n  <div class=\"brick-form__row-body\">\n    <div class=\"brick-form__field-group\">\n        <div class=\"\n  brick-form__field-unit\n  brick-form__field-unit-zip\n  brick-form__field-unit--optional\n  brick-form__field-unit-name-zip\n\">\n  <div class=\"brick-form__field\">\n    <input\n      id=\"brick-form__field-name-zip\"\n      class=\"brick-form__field-name-zip\"\n      type=\"text\"\n      name=\"zip\"\n      value=\"\"\n      placeholder=\"\u4f8b\uff09000-0000\"\n      inputmode=\"numeric\"\n      pattern=\"[0-9\\-]*\"\n      autocomplete=\"postal-code\"\n      \n      \n    >\n  <\/div>\n  <!-- \/.brick-form__field -->\n<\/div>\n<!-- \/.brick-form__field-unit.brick-form__field-unit-zip -->\n\n    <\/div>\n    <!-- \/.brick-form__field-group -->\n\n    <div class=\"brick-form__message\"><\/div>\n\n  <\/div>\n  <!-- \/.brick-form__row-body -->\n<\/div>\n<!-- \/.brick-form__row -->\n\n  \n<div class=\"\n  brick-form__row\n  brick-form__row--step-input\n  brick-form__row--optional\n  brick-form__row-name-pref\n\">\n  <div class=\"brick-form__row-header\">\n    <h4 class=\"brick-form__label\">\n      <label for=\"brick-form__field-name-pref\">\u90fd\u9053\u5e9c\u770c<\/label>\n    <\/h4>\n  <\/div>\n  <!-- \/.brick-form__row-header -->\n\n  <div class=\"brick-form__row-body\">\n    <div class=\"brick-form__field-group\">\n        <div class=\"\n  brick-form__field-unit\n  brick-form__field-unit-select\n  brick-form__field-unit--optional\n  brick-form__field-unit-name-pref\n\">\n  <div class=\"brick-form__field\">\n    <select\n      id=\"brick-form__options-pref\"\n      class=\"brick-form__options brick-form__options-select brick-form__options-name-pref\"\n      name=\"pref\"\n      \n      \n    >\n      <option\n  class=\"brick-form__options-item-pref-00\"\n  value=\"\"\n  selected\n>\n  \u9078\u629e<\/option>\n\n      <option\n  class=\"brick-form__options-item-pref-01\"\n  value=\"\u5317\u6d77\u9053\"\n  \n>\n  \u5317\u6d77\u9053<\/option>\n\n      <option\n  class=\"brick-form__options-item-pref-02\"\n  value=\"\u9752\u68ee\u770c\"\n  \n>\n  \u9752\u68ee\u770c<\/option>\n\n      <option\n  class=\"brick-form__options-item-pref-03\"\n  value=\"\u5ca9\u624b\u770c\"\n  \n>\n  \u5ca9\u624b\u770c<\/option>\n\n      <option\n  class=\"brick-form__options-item-pref-04\"\n  value=\"\u5bae\u57ce\u770c\"\n  \n>\n  \u5bae\u57ce\u770c<\/option>\n\n      <option\n  class=\"brick-form__options-item-pref-05\"\n  value=\"\u79cb\u7530\u770c\"\n  \n>\n  \u79cb\u7530\u770c<\/option>\n\n      <option\n  class=\"brick-form__options-item-pref-06\"\n  value=\"\u5c71\u5f62\u770c\"\n  \n>\n  \u5c71\u5f62\u770c<\/option>\n\n      <option\n  class=\"brick-form__options-item-pref-07\"\n  value=\"\u798f\u5cf6\u770c\"\n  \n>\n  \u798f\u5cf6\u770c<\/option>\n\n      <option\n  class=\"brick-form__options-item-pref-08\"\n  value=\"\u8328\u57ce\u770c\"\n  \n>\n  \u8328\u57ce\u770c<\/option>\n\n      <option\n  class=\"brick-form__options-item-pref-09\"\n  value=\"\u6803\u6728\u770c\"\n  \n>\n  \u6803\u6728\u770c<\/option>\n\n      <option\n  class=\"brick-form__options-item-pref-10\"\n  value=\"\u7fa4\u99ac\u770c\"\n  \n>\n  \u7fa4\u99ac\u770c<\/option>\n\n      <option\n  class=\"brick-form__options-item-pref-11\"\n  value=\"\u57fc\u7389\u770c\"\n  \n>\n  \u57fc\u7389\u770c<\/option>\n\n      <option\n  class=\"brick-form__options-item-pref-12\"\n  value=\"\u5343\u8449\u770c\"\n  \n>\n  \u5343\u8449\u770c<\/option>\n\n      <option\n  class=\"brick-form__options-item-pref-13\"\n  value=\"\u6771\u4eac\u90fd\"\n  \n>\n  \u6771\u4eac\u90fd<\/option>\n\n      <option\n  class=\"brick-form__options-item-pref-14\"\n  value=\"\u795e\u5948\u5ddd\u770c\"\n  \n>\n  \u795e\u5948\u5ddd\u770c<\/option>\n\n      <option\n  class=\"brick-form__options-item-pref-15\"\n  value=\"\u65b0\u6f5f\u770c\"\n  \n>\n  \u65b0\u6f5f\u770c<\/option>\n\n      <option\n  class=\"brick-form__options-item-pref-16\"\n  value=\"\u5bcc\u5c71\u770c\"\n  \n>\n  \u5bcc\u5c71\u770c<\/option>\n\n      <option\n  class=\"brick-form__options-item-pref-17\"\n  value=\"\u77f3\u5ddd\u770c\"\n  \n>\n  \u77f3\u5ddd\u770c<\/option>\n\n      <option\n  class=\"brick-form__options-item-pref-18\"\n  value=\"\u798f\u4e95\u770c\"\n  \n>\n  \u798f\u4e95\u770c<\/option>\n\n      <option\n  class=\"brick-form__options-item-pref-19\"\n  value=\"\u5c71\u68a8\u770c\"\n  \n>\n  \u5c71\u68a8\u770c<\/option>\n\n      <option\n  class=\"brick-form__options-item-pref-20\"\n  value=\"\u9577\u91ce\u770c\"\n  \n>\n  \u9577\u91ce\u770c<\/option>\n\n      <option\n  class=\"brick-form__options-item-pref-21\"\n  value=\"\u5c90\u961c\u770c\"\n  \n>\n  \u5c90\u961c\u770c<\/option>\n\n      <option\n  class=\"brick-form__options-item-pref-22\"\n  value=\"\u9759\u5ca1\u770c\"\n  \n>\n  \u9759\u5ca1\u770c<\/option>\n\n      <option\n  class=\"brick-form__options-item-pref-23\"\n  value=\"\u611b\u77e5\u770c\"\n  \n>\n  \u611b\u77e5\u770c<\/option>\n\n      <option\n  class=\"brick-form__options-item-pref-24\"\n  value=\"\u4e09\u91cd\u770c\"\n  \n>\n  \u4e09\u91cd\u770c<\/option>\n\n      <option\n  class=\"brick-form__options-item-pref-25\"\n  value=\"\u6ecb\u8cc0\u770c\"\n  \n>\n  \u6ecb\u8cc0\u770c<\/option>\n\n      <option\n  class=\"brick-form__options-item-pref-26\"\n  value=\"\u4eac\u90fd\u5e9c\"\n  \n>\n  \u4eac\u90fd\u5e9c<\/option>\n\n      <option\n  class=\"brick-form__options-item-pref-27\"\n  value=\"\u5927\u962a\u5e9c\"\n  \n>\n  \u5927\u962a\u5e9c<\/option>\n\n      <option\n  class=\"brick-form__options-item-pref-28\"\n  value=\"\u5175\u5eab\u770c\"\n  \n>\n  \u5175\u5eab\u770c<\/option>\n\n      <option\n  class=\"brick-form__options-item-pref-29\"\n  value=\"\u5948\u826f\u770c\"\n  \n>\n  \u5948\u826f\u770c<\/option>\n\n      <option\n  class=\"brick-form__options-item-pref-30\"\n  value=\"\u548c\u6b4c\u5c71\u770c\"\n  \n>\n  \u548c\u6b4c\u5c71\u770c<\/option>\n\n      <option\n  class=\"brick-form__options-item-pref-31\"\n  value=\"\u9ce5\u53d6\u770c\"\n  \n>\n  \u9ce5\u53d6\u770c<\/option>\n\n      <option\n  class=\"brick-form__options-item-pref-32\"\n  value=\"\u5cf6\u6839\u770c\"\n  \n>\n  \u5cf6\u6839\u770c<\/option>\n\n      <option\n  class=\"brick-form__options-item-pref-33\"\n  value=\"\u5ca1\u5c71\u770c\"\n  \n>\n  \u5ca1\u5c71\u770c<\/option>\n\n      <option\n  class=\"brick-form__options-item-pref-34\"\n  value=\"\u5e83\u5cf6\u770c\"\n  \n>\n  \u5e83\u5cf6\u770c<\/option>\n\n      <option\n  class=\"brick-form__options-item-pref-35\"\n  value=\"\u5c71\u53e3\u770c\"\n  \n>\n  \u5c71\u53e3\u770c<\/option>\n\n      <option\n  class=\"brick-form__options-item-pref-36\"\n  value=\"\u5fb3\u5cf6\u770c\"\n  \n>\n  \u5fb3\u5cf6\u770c<\/option>\n\n      <option\n  class=\"brick-form__options-item-pref-37\"\n  value=\"\u9999\u5ddd\u770c\"\n  \n>\n  \u9999\u5ddd\u770c<\/option>\n\n      <option\n  class=\"brick-form__options-item-pref-38\"\n  value=\"\u611b\u5a9b\u770c\"\n  \n>\n  \u611b\u5a9b\u770c<\/option>\n\n      <option\n  class=\"brick-form__options-item-pref-39\"\n  value=\"\u9ad8\u77e5\u770c\"\n  \n>\n  \u9ad8\u77e5\u770c<\/option>\n\n      <option\n  class=\"brick-form__options-item-pref-40\"\n  value=\"\u798f\u5ca1\u770c\"\n  \n>\n  \u798f\u5ca1\u770c<\/option>\n\n      <option\n  class=\"brick-form__options-item-pref-41\"\n  value=\"\u4f50\u8cc0\u770c\"\n  \n>\n  \u4f50\u8cc0\u770c<\/option>\n\n      <option\n  class=\"brick-form__options-item-pref-42\"\n  value=\"\u9577\u5d0e\u770c\"\n  \n>\n  \u9577\u5d0e\u770c<\/option>\n\n      <option\n  class=\"brick-form__options-item-pref-43\"\n  value=\"\u718a\u672c\u770c\"\n  \n>\n  \u718a\u672c\u770c<\/option>\n\n      <option\n  class=\"brick-form__options-item-pref-44\"\n  value=\"\u5927\u5206\u770c\"\n  \n>\n  \u5927\u5206\u770c<\/option>\n\n      <option\n  class=\"brick-form__options-item-pref-45\"\n  value=\"\u5bae\u5d0e\u770c\"\n  \n>\n  \u5bae\u5d0e\u770c<\/option>\n\n      <option\n  class=\"brick-form__options-item-pref-46\"\n  value=\"\u9e7f\u5150\u5cf6\u770c\"\n  \n>\n  \u9e7f\u5150\u5cf6\u770c<\/option>\n\n      <option\n  class=\"brick-form__options-item-pref-47\"\n  value=\"\u6c96\u7e04\u770c\"\n  \n>\n  \u6c96\u7e04\u770c<\/option>\n\n    <\/select>\n  <\/div>\n  <!-- \/.brick-form__field -->\n<\/div>\n<!-- \/.brick-form__field-unit.brick-form__field-unit-select -->\n\n    <\/div>\n    <!-- \/.brick-form__field-group -->\n\n    <div class=\"brick-form__message\"><\/div>\n\n  <\/div>\n  <!-- \/.brick-form__row-body -->\n<\/div>\n<!-- \/.brick-form__row -->\n\n  \n<div class=\"\n  brick-form__row\n  brick-form__row--step-input\n  brick-form__row--optional\n  brick-form__row-name-address\n\">\n  <div class=\"brick-form__row-header\">\n    <h4 class=\"brick-form__label\">\n      <label for=\"brick-form__field-name-address\">\u3054\u4f4f\u6240<\/label>\n    <\/h4>\n  <\/div>\n  <!-- \/.brick-form__row-header -->\n\n  <div class=\"brick-form__row-body\">\n    <div class=\"brick-form__field-group\">\n        <div class=\"\n  brick-form__field-unit\n  brick-form__field-unit-address\n  brick-form__field-unit--optional\n  brick-form__field-unit-name-address\n\">\n  <div class=\"brick-form__field\">\n    <input\n      id=\"brick-form__field-name-address\"\n      class=\"brick-form__field-name-address\"\n      type=\"text\"\n      name=\"address\"\n      value=\"\"\n      placeholder=\"\"\n      autocomplete=\"street-address\"\n      \n      \n    >\n  <\/div>\n  <!-- \/.brick-form__field -->\n<\/div>\n<!-- \/.brick-form__field-unit.brick-form__field-unit-address -->\n\n    <\/div>\n    <!-- \/.brick-form__field-group -->\n\n    <div class=\"brick-form__message\"><\/div>\n\n  <\/div>\n  <!-- \/.brick-form__row-body -->\n<\/div>\n<!-- \/.brick-form__row -->\n\n  \n<div class=\"\n  brick-form__row\n  brick-form__row--step-input\n  brick-form__row--required\n  brick-form__row-name-date\n\">\n  <div class=\"brick-form__row-header\">\n    <h4 class=\"brick-form__label\">\n      <label for=\"brick-form__field-name-date\">\u5e0c\u671b\u65e5<\/label>\n    <\/h4>\n  <\/div>\n  <!-- \/.brick-form__row-header -->\n\n  <div class=\"brick-form__row-body\">\n    <div class=\"brick-form__field-group\">\n        <div class=\"\n  brick-form__field-unit\n  brick-form__field-unit-datepicker\n  brick-form__field-unit--required\n  brick-form__field-unit-name-date\n\">\n  <div class=\"brick-form__field\">\n    <input\n      id=\"brick-form__field-name-date\"\n      class=\"brick-form__field-name-date\"\n      type=\"text\"\n      name=\"date\"\n      value=\"\"\n      placeholder=\"\"\n      data-datepicker\n      inputmode=\"none\"\n      pattern=\"[0-9\/\\-]*\"\n      required\n      \n    >\n  <\/div>\n  <!-- \/.brick-form__field -->\n<\/div>\n<!-- \/.brick-form__field-unit.brick-form__field-unit-datepicker -->\n\n    <\/div>\n    <!-- \/.brick-form__field-group -->\n\n    <div class=\"brick-form__message\"><\/div>\n\n  <\/div>\n  <!-- \/.brick-form__row-body -->\n<\/div>\n<!-- \/.brick-form__row -->\n\n  \n<div class=\"\n  brick-form__row\n  brick-form__row--step-input\n  brick-form__row--required\n  brick-form__row-name-schedule\n\">\n  <div class=\"brick-form__row-header\">\n    <h4 class=\"brick-form__label\">\n      <label for=\"brick-form__field-name-schedule\">\u958b\u59cb\u6642\u9593\u30fb\u7d42\u4e86\u6642\u9593<\/label>\n    <\/h4>\n  <\/div>\n  <!-- \/.brick-form__row-header -->\n\n  <div class=\"brick-form__row-body\">\n    <div class=\"brick-form__field-group\">\n        <div class=\"\n  brick-form__field-unit\n  brick-form__field-unit-select\n  brick-form__field-unit--required\n  brick-form__field-unit-name-schedule\n\">\n  <div class=\"brick-form__field\">\n    <select\n      id=\"brick-form__options-schedule\"\n      class=\"brick-form__options brick-form__options-select brick-form__options-name-schedule\"\n      name=\"schedule\"\n      required\n      \n    >\n      <option\n  class=\"brick-form__options-item-schedule-0\"\n  value=\"\"\n  selected\n>\n  \u9078\u629e<\/option>\n\n      <option\n  class=\"brick-form__options-item-schedule-1\"\n  value=\"9:00\u301c\"\n  \n>\n  9:00\u301c<\/option>\n\n      <option\n  class=\"brick-form__options-item-schedule-2\"\n  value=\"10:00\u301c\"\n  \n>\n  10:00\u301c<\/option>\n\n      <option\n  class=\"brick-form__options-item-schedule-3\"\n  value=\"11:00\u301c\"\n  \n>\n  11:00\u301c<\/option>\n\n      <option\n  class=\"brick-form__options-item-schedule-4\"\n  value=\"12:00\u301c\"\n  \n>\n  12:00\u301c<\/option>\n\n      <option\n  class=\"brick-form__options-item-schedule-5\"\n  value=\"13:00\u301c\"\n  \n>\n  13:00\u301c<\/option>\n\n      <option\n  class=\"brick-form__options-item-schedule-6\"\n  value=\"14:00\u301c\"\n  \n>\n  14:00\u301c<\/option>\n\n      <option\n  class=\"brick-form__options-item-schedule-7\"\n  value=\"15:00\u301c\"\n  \n>\n  15:00\u301c<\/option>\n\n      <option\n  class=\"brick-form__options-item-schedule-8\"\n  value=\"16:00\u301c\"\n  \n>\n  16:00\u301c<\/option>\n\n      <option\n  class=\"brick-form__options-item-schedule-9\"\n  value=\"17:00\u301c\"\n  \n>\n  17:00\u301c<\/option>\n\n      <option\n  class=\"brick-form__options-item-schedule-10\"\n  value=\"18:00\u301c\"\n  \n>\n  18:00\u301c<\/option>\n\n      <option\n  class=\"brick-form__options-item-schedule-11\"\n  value=\"19:00\u301c\"\n  \n>\n  19:00\u301c<\/option>\n\n      <option\n  class=\"brick-form__options-item-schedule-12\"\n  value=\"20:00\u301c\"\n  \n>\n  20:00\u301c<\/option>\n\n    <\/select>\n  <\/div>\n  <!-- \/.brick-form__field -->\n<\/div>\n<!-- \/.brick-form__field-unit.brick-form__field-unit-select -->\n\n    <\/div>\n    <!-- \/.brick-form__field-group -->\n\n    <div class=\"brick-form__message\"><\/div>\n\n  <\/div>\n  <!-- \/.brick-form__row-body -->\n<\/div>\n<!-- \/.brick-form__row -->\n\n  \n<div class=\"\n  brick-form__row\n  brick-form__row--step-input\n  brick-form__row--required\n  brick-form__row-name-content\n\">\n  <div class=\"brick-form__row-header\">\n    <h4 class=\"brick-form__label\">\n      <label for=\"brick-form__field-name-content\">\u3054\u5bb4\u4f1a\u4e3b\u65e8<\/label>\n    <\/h4>\n  <\/div>\n  <!-- \/.brick-form__row-header -->\n\n  <div class=\"brick-form__row-body\">\n    <div class=\"brick-form__field-group\">\n        <div class=\"\n  brick-form__field-unit\n  brick-form__field-unit-select\n  brick-form__field-unit--required\n  brick-form__field-unit-name-content\n\">\n  <div class=\"brick-form__field\">\n    <select\n      id=\"brick-form__options-content\"\n      class=\"brick-form__options brick-form__options-select brick-form__options-name-content\"\n      name=\"content\"\n      required\n      \n    >\n      <option\n  class=\"brick-form__options-item-content-0\"\n  value=\"\"\n  selected\n>\n  \u9078\u629e<\/option>\n\n      <option\n  class=\"brick-form__options-item-content-1\"\n  value=\"M-\u793e\u5185\u4f1a\u8b70\u30fb\u7814\u4fee\u30fb\u30ad\u30c3\u30af\u30aa\u30d5\"\n  \n>\n  M-\u793e\u5185\u4f1a\u8b70\u30fb\u7814\u4fee\u30fb\u30ad\u30c3\u30af\u30aa\u30d5<\/option>\n\n      <option\n  class=\"brick-form__options-item-content-2\"\n  value=\"M-\u8b1b\u6f14\u4f1a\u30fb\u30bb\u30df\u30ca\u30fc\"\n  \n>\n  M-\u8b1b\u6f14\u4f1a\u30fb\u30bb\u30df\u30ca\u30fc<\/option>\n\n      <option\n  class=\"brick-form__options-item-content-3\"\n  value=\"M-\u682a\u4e3b\u7dcf\u4f1a\u30fb\u7dcf\u4f1a\"\n  \n>\n  M-\u682a\u4e3b\u7dcf\u4f1a\u30fb\u7dcf\u4f1a<\/option>\n\n      <option\n  class=\"brick-form__options-item-content-4\"\n  value=\"M-\u5165\u793e\u5f0f\u30fb\u5185\u5b9a\u5f0f\"\n  \n>\n  M-\u5165\u793e\u5f0f\u30fb\u5185\u5b9a\u5f0f<\/option>\n\n      <option\n  class=\"brick-form__options-item-content-5\"\n  value=\"M-\u767a\u8868\u4f1a\u30fb\u8aac\u660e\u4f1a\"\n  \n>\n  M-\u767a\u8868\u4f1a\u30fb\u8aac\u660e\u4f1a<\/option>\n\n      <option\n  class=\"brick-form__options-item-content-6\"\n  value=\"I-\u30a4\u30f3\u30bb\u30f3\u30c6\u30a3\u30d6\"\n  \n>\n  I-\u30a4\u30f3\u30bb\u30f3\u30c6\u30a3\u30d6<\/option>\n\n      <option\n  class=\"brick-form__options-item-content-7\"\n  value=\"I-\u8ca9\u58f2\u5e97\u30fb\u4ee3\u7406\u5e97\u4f1a\"\n  \n>\n  I-\u8ca9\u58f2\u5e97\u30fb\u4ee3\u7406\u5e97\u4f1a<\/option>\n\n      <option\n  class=\"brick-form__options-item-content-8\"\n  value=\"I-\u8868\u5f70\u5f0f\"\n  \n>\n  I-\u8868\u5f70\u5f0f<\/option>\n\n      <option\n  class=\"brick-form__options-item-content-9\"\n  value=\"C-\u5b66\u4f1a\"\n  \n>\n  C-\u5b66\u4f1a<\/option>\n\n      <option\n  class=\"brick-form__options-item-content-10\"\n  value=\"C-\u56fd\u969b\u4f1a\u8b70\"\n  \n>\n  C-\u56fd\u969b\u4f1a\u8b70<\/option>\n\n      <option\n  class=\"brick-form__options-item-content-11\"\n  value=\"E-\u304a\u5225\u308c\u306e\u4f1a\u30fb\u793e\u846c\u30fb\u6cd5\u8981\"\n  \n>\n  E-\u304a\u5225\u308c\u306e\u4f1a\u30fb\u793e\u846c\u30fb\u6cd5\u8981<\/option>\n\n      <option\n  class=\"brick-form__options-item-content-12\"\n  value=\"E-\u5468\u5e74\u8a18\u5ff5\"\n  \n>\n  E-\u5468\u5e74\u8a18\u5ff5<\/option>\n\n      <option\n  class=\"brick-form__options-item-content-13\"\n  value=\"E-\u5c55\u793a\u4f1a\"\n  \n>\n  E-\u5c55\u793a\u4f1a<\/option>\n\n      <option\n  class=\"brick-form__options-item-content-14\"\n  value=\"E-\u5165\u5b66\u5f0f\u30fb\u5352\u696d\u5f0f\"\n  \n>\n  E-\u5165\u5b66\u5f0f\u30fb\u5352\u696d\u5f0f<\/option>\n\n      <option\n  class=\"brick-form__options-item-content-15\"\n  value=\"\u6b53\u8fce\u4f1a\"\n  \n>\n  \u6b53\u8fce\u4f1a<\/option>\n\n      <option\n  class=\"brick-form__options-item-content-16\"\n  value=\"\u8b1d\u6069\u4f1a\"\n  \n>\n  \u8b1d\u6069\u4f1a<\/option>\n\n      <option\n  class=\"brick-form__options-item-content-17\"\n  value=\"\u30c0\u30f3\u30b9\u30d1\u30fc\u30c6\u30a3\u30fc\"\n  \n>\n  \u30c0\u30f3\u30b9\u30d1\u30fc\u30c6\u30a3\u30fc<\/option>\n\n      <option\n  class=\"brick-form__options-item-content-18\"\n  value=\"\u540c\u7a93\u4f1a\u30fb\u540c\u671f\u4f1a\u30fbOB\u4f1a\"\n  \n>\n  \u540c\u7a93\u4f1a\u30fb\u540c\u671f\u4f1a\u30fbOB\u4f1a<\/option>\n\n      <option\n  class=\"brick-form__options-item-content-19\"\n  value=\"\u7d0d\u6dbc\u4f1a\u30fb\u5fd8\u5e74\u4f1a\u30fb\u65b0\u5e74\u4f1a\"\n  \n>\n  \u7d0d\u6dbc\u4f1a\u30fb\u5fd8\u5e74\u4f1a\u30fb\u65b0\u5e74\u4f1a<\/option>\n\n      <option\n  class=\"brick-form__options-item-content-20\"\n  value=\"\u305d\u306e\u4ed6\uff08\u88dc\u8db3\u4e8b\u9805\u306f\u304a\u554f\u5408\u305b\u6b04\u306b\u3054\u8a18\u5165\u304f\u3060\u3055\u3044\u3002\uff09\"\n  \n>\n  \u305d\u306e\u4ed6\uff08\u88dc\u8db3\u4e8b\u9805\u306f\u304a\u554f\u5408\u305b\u6b04\u306b\u3054\u8a18\u5165\u304f\u3060\u3055\u3044\u3002\uff09<\/option>\n\n    <\/select>\n  <\/div>\n  <!-- \/.brick-form__field -->\n<\/div>\n<!-- \/.brick-form__field-unit.brick-form__field-unit-select -->\n\n    <\/div>\n    <!-- \/.brick-form__field-group -->\n\n    <div class=\"brick-form__message\"><\/div>\n\n  <\/div>\n  <!-- \/.brick-form__row-body -->\n<\/div>\n<!-- \/.brick-form__row -->\n\n  \n<div class=\"\n  brick-form__row\n  brick-form__row--step-input\n  brick-form__row--required\n  brick-form__row-name-layout\n\">\n  <div class=\"brick-form__row-header\">\n    <h4 class=\"brick-form__label\">\n      <label for=\"brick-form__field-name-layout\">\u4f1a\u8b70\uff1a\u4f1a\u5834\u5f62\u5f0f<\/label>\n    <\/h4>\n  <\/div>\n  <!-- \/.brick-form__row-header -->\n\n  <div class=\"brick-form__row-body\">\n    <div class=\"brick-form__field-group\">\n        <div class=\"\n  brick-form__field-unit\n  brick-form__field-unit-select\n  brick-form__field-unit--required\n  brick-form__field-unit-name-layout\n\">\n  <div class=\"brick-form__field\">\n    <select\n      id=\"brick-form__options-layout\"\n      class=\"brick-form__options brick-form__options-select brick-form__options-name-layout\"\n      name=\"layout\"\n      required\n      \n    >\n      <option\n  class=\"brick-form__options-item-layout-0\"\n  value=\"\"\n  selected\n>\n  \u9078\u629e<\/option>\n\n      <option\n  class=\"brick-form__options-item-layout-1\"\n  value=\"\u30b7\u30a2\u30bf\u30fc\"\n  \n>\n  \u30b7\u30a2\u30bf\u30fc<\/option>\n\n      <option\n  class=\"brick-form__options-item-layout-2\"\n  value=\"\u30b9\u30af\u30fc\u30eb\"\n  \n>\n  \u30b9\u30af\u30fc\u30eb<\/option>\n\n      <option\n  class=\"brick-form__options-item-layout-3\"\n  value=\"\u30ed\u306e\u5b57\"\n  \n>\n  \u30ed\u306e\u5b57<\/option>\n\n      <option\n  class=\"brick-form__options-item-layout-4\"\n  value=\"\u30b3\u306e\u5b57\"\n  \n>\n  \u30b3\u306e\u5b57<\/option>\n\n      <option\n  class=\"brick-form__options-item-layout-5\"\n  value=\"\u305d\u306e\u4ed6\"\n  \n>\n  \u305d\u306e\u4ed6<\/option>\n\n    <\/select>\n  <\/div>\n  <!-- \/.brick-form__field -->\n<\/div>\n<!-- \/.brick-form__field-unit.brick-form__field-unit-select -->\n\n    <\/div>\n    <!-- \/.brick-form__field-group -->\n\n    <div class=\"brick-form__message\"><\/div>\n\n  <\/div>\n  <!-- \/.brick-form__row-body -->\n<\/div>\n<!-- \/.brick-form__row -->\n\n  \n<div class=\"\n  brick-form__row\n  brick-form__row--step-input\n  brick-form__row--required\n  brick-form__row-name-dine\n\">\n  <div class=\"brick-form__row-header\">\n    <h4 class=\"brick-form__label\">\n      <label for=\"brick-form__field-name-dine\">\u4f1a\u98df\uff1a\u4f1a\u5834\u5f62\u5f0f<\/label>\n    <\/h4>\n  <\/div>\n  <!-- \/.brick-form__row-header -->\n\n  <div class=\"brick-form__row-body\">\n    <div class=\"brick-form__field-group\">\n        <div class=\"\n  brick-form__field-unit\n  brick-form__field-unit-select\n  brick-form__field-unit--required\n  brick-form__field-unit-name-dine\n\">\n  <div class=\"brick-form__field\">\n    <select\n      id=\"brick-form__options-dine\"\n      class=\"brick-form__options brick-form__options-select brick-form__options-name-dine\"\n      name=\"dine\"\n      required\n      \n    >\n      <option\n  class=\"brick-form__options-item-dine-0\"\n  value=\"\"\n  selected\n>\n  \u9078\u629e<\/option>\n\n      <option\n  class=\"brick-form__options-item-dine-1\"\n  value=\"\u30d6\u30c3\u30d5\u30a7\uff08\u7acb\u98df\uff09\"\n  \n>\n  \u30d6\u30c3\u30d5\u30a7\uff08\u7acb\u98df\uff09<\/option>\n\n      <option\n  class=\"brick-form__options-item-dine-2\"\n  value=\"\u30d6\u30c3\u30d5\u30a7\uff08\u7740\u5e2d\uff09\"\n  \n>\n  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