document.write('<!--LP_FORM_START-->');
document.write('		<div class="form">');
document.write('			<div class="form_section">');
document.write('				<div class="form-flow">');
document.write('					<ul class="form-flow-list">');
document.write('						<li class="form-flow-item active">');
document.write('							<span class="form-flow-number roboto">1</span>');
document.write('							<span class="form-flow-text">入力</span>');
document.write('							<span class="form-flow-line"></span>');
document.write('						</li>');
document.write('						<li class="form-flow-item">');
document.write('							<span class="form-flow-number roboto">2</span>');
document.write('							<span class="form-flow-text">確認</span>');
document.write('							<span class="form-flow-line"></span>');
document.write('						</li>');
document.write('						<li class="form-flow-item">');
document.write('							<span class="form-flow-number roboto">3</span>');
document.write('							<span class="form-flow-text">完了</span>');
document.write('						</li>');
document.write('					</ul>');
document.write('				</div>');
document.write('	');
document.write('				<form method="post" name="sfm-form" id="sfm-form" class="sfm-form" action="//www.nethikaku-navi.jp/soudan/confirm.html">');
document.write('');
document.write('					<div class="input-area">');
document.write('						<div class="form-area">');
document.write('							<table class="form-table form-tableCol">');
document.write('								<tr class="required-input">');
document.write('									<th><span class="required">必須</span>姓（カタカナ）</th>');
document.write('									<td>');
document.write('										<input class="text" type="text" name="family_name_kana_s" id="first_name_kana" size="30" value="" placeholder="例）トウキョウ" required/>');
document.write('										<div class="ERR" ></div>');
document.write('									</td>');
document.write('								</tr>');
document.write('							</table>');
document.write('							<table class="form-table form-tableCol">');
document.write('								<tr class="required-input">');
document.write('									<th><span class="required">必須</span>名（カタカナ）</th>');
document.write('									<td>');
document.write('										<input class="text" type="text" name="first_name_kana_s" id="family_name_kana" size="30" value="" placeholder="例）タロウ" required/>');
document.write('										<div class="ERR" ></div>');
document.write('									</td>');
document.write('								</tr>');
document.write('							</table>');
document.write('						</div>');
document.write('						<table class="form-table">');
document.write('							<tr class="required-input">');
document.write('								<th><span class="required">必須</span>電話番号</th>');
document.write('								<td>');
document.write('									<input type="tel" name="tel_s" id="tel" value="" placeholder="例）09012345678 ※ハイフン不要" required/>');
document.write('									<div class="ERR" ></div>');
document.write('								</td>');
document.write('							</tr>');
document.write('							<tr class="required-input">');
document.write('								<th><span class="required">必須</span>郵便番号</th>');
document.write('								<td>');
document.write('									<input type="tel" id="postcode1" name="postcode1_s" size="10" maxlength="7" class="trigger" data-target="address" value="" placeholder="例）1234567 ※ハイフン不要"/>');
document.write('									<div class="ERR" ></div>');
document.write('								</td>');
document.write('							</tr>');
document.write('						</table>');
document.write('					</div>');
document.write('');
document.write('					<!-- 注文番号 -->');
document.write('					<input type="hidden" name="orderid" id="orderid" value="20260830192530" />');
document.write('					<input type="hidden" name="action" value="conf" />');
document.write('					<div class="form_bottom_submit _center">');
document.write('						<button type="submit" name="submit" id="click_soudan_confirm" class="submit button" value="入力内容の確認" onclick="window.onbeforeunload=null"><span class="topnone">入力内容の確認</span><span class="formnone">無料で相談する</span></button>');
document.write('						<div class="reruiredAllBtn"></div>');
document.write('					</div>');
document.write('					<!-- <p class="note-text t-center">※ご入力いただいた情報は、お申し込みの受付と<br>ご連絡のためにのみ利用いたします。</p> -->');
document.write('				</form>');
document.write('				<div id="cookie-data"></div>');
document.write('				');
document.write('<script>');
document.write('var lpQuery = location.search;');
document.write('var element = document.forms[document.forms.length - 1]; ');
document.write('element.action = element.getAttribute(\'action\')+lpQuery;');
document.write('</script>');