お問い合わせ Contact

通常のお問い合わせ、研修・見学・講演依頼については、以下のフォームよりお願いします。

※ハイフンを除く半角数字のみで入力してください

ご入力いただいたお名前、メールアドレス、電話番号などの個人情報は、お問い合わせやご請求に対する回答の目的でのみ利用させていただきます。

500 Internal Server Error.

Function get_magic_quotes_gpc() is deprecated in /home/users/2/main.jp-mdef/web/toc-minoh/php/ACMS/function.php line: 6759

#0 /home/users/2/main.jp-mdef/web/toc-minoh/php/ACMS/function.php(6759): Acms\{closure}(8192, 'Function get_magic_quotes_gpc() is deprecated', '/home/users/2/main.jp-mdef/web/toc-minoh/php/ACMS/function.php', 6759, Array)
#1 /home/users/2/main.jp-mdef/web/toc-minoh/php/Application.php(633): fixEncodingAssoc('3', 'category', 'pc')
#2 /home/users/2/main.jp-mdef/web/toc-minoh/php/Services/Common/Helper.php(52): getGetParameter()
#3 /home/users/2/main.jp-mdef/web/toc-minoh/php/Services/Container.php(300): __construct()
#4 /home/users/2/main.jp-mdef/web/toc-minoh/php/Services/Container.php(192): createInstance('Acms\Services\Common\Helper', Array)
#5 /home/users/2/main.jp-mdef/web/toc-minoh/php/Services/Container.php(175): newInstance('Acms\Services\Common\Helper', Array)
#6 [internal function](): singletonMake('common')
#7 /home/users/2/main.jp-mdef/web/toc-minoh/php/Services/Container.php(81): call_user_func(Array, 'common')
#8 /home/users/2/main.jp-mdef/web/toc-minoh/php/Services/Facades/Facade.php(39): make('common')
#9 /home/users/2/main.jp-mdef/web/toc-minoh/php/Services/Facades/Facade.php(74): getServiceInstance('common')
#10 /home/users/2/main.jp-mdef/web/toc-minoh/php/ACMS/function.php(5837): __callStatic('getTagsFromString', Array)
#11 /home/users/2/main.jp-mdef/web/toc-minoh/php/ACMS/RAM.php(34): parseAcmsPath('/contact')
#12 /home/users/2/main.jp-mdef/web/toc-minoh/php/ACMS/function.php(5699): cacheMethod('parseAcmsPath', Array)
#13 /home/users/2/main.jp-mdef/web/toc-minoh/php/Application.php(616): parseAcmsPath('/contact')
#14 /home/users/2/main.jp-mdef/web/toc-minoh/php/main.php(12): getQueryParameter()
#15 /home/users/2/main.jp-mdef/web/toc-minoh/index.php(56): require_once('/home/users/2/main.jp-mdef/web/toc-minoh/php/main.php')

Trying to access array offset on value of type null in /home/users/2/main.jp-mdef/web/toc-minoh/php/ACMS/function.php line: 5387

#0 /home/users/2/main.jp-mdef/web/toc-minoh/php/ACMS/function.php(5387): Acms\{closure}(8, 'Trying to access array offset on value of type null', '/home/users/2/main.jp-mdef/web/toc-minoh/php/ACMS/function.php', 5387, Array)
#1 /home/users/2/main.jp-mdef/web/toc-minoh/php/ACMS/RAM.php(34): loadAncestorBlog('parent', 'id')
#2 /home/users/2/main.jp-mdef/web/toc-minoh/php/ACMS/function.php(5353): cacheMethod('loadAncestorBlog', Array)
#3 /home/users/2/main.jp-mdef/web/toc-minoh/php/ACMS/function.php(5492): loadAncestorBlog('parent', 'id')
#4 /home/users/2/main.jp-mdef/web/toc-minoh/php/ACMS/function.php(4073): setGlobalVars('@extend("include/layouts/base.html")

@section("head-title")
<title>お問い合わせ | %{ROOT_BLOG_NAME}</title>
@endsection

@section("body-id")contact@endsection

@section("content")
<main class="site-content">
<div class="inner">
<h1 class="page-title">
<span class="ja">お問い合わせ</span>
<span class="en">Contact</span>
</h1>

<!-- BEGIN_MODULE Form -->

<!-- BEGIN step -->
<p class="_txtc"><strong>通常のお問い合わせ、研修・見学・講演依頼については、以下のフォームよりお願いします。</strong></p>
<form action="?mode=confirm" method="post" class="h-adr">
<div class="form-content">
<!--#include file="form/input.html" vars=""-->
</div>
<input type="hidden" name="step" value="confirm" />
<input type="hidden" name="error" value="reapply" />
<input type="hidden" name="id" value="contact" />
<input type="hidden" class="p-country-name" value="Japan">
<p class="button _txtc"><button type="submit" name="ACMS_POST_Form_Confirm" class="form-button">入力内容を確認</button></p>
</form>
<!-- END step -->

<!-- BEGIN step#reapply -->
<p class="_txtc"><strong>通常のお問い合わせ、研修・見学・講演依頼については、以下のフォームよりお願いします。</strong></p>
<form action="?mode=confirm" method="post" class="h-adr">
<div class="form-content">
<!--#include file="form/input.html" vars=""-->
</div>
<input type="hidden" name="step" value="confirm" />
<input type="hidden" name="error" value="reapply" />
<input type="hidden" name="id" value="contact" />
<input type="hidden" class="p-country-name" value="Japan">
<p class="button _txtc"><button type="submit" name="ACMS_POST_Form_Confirm" class="form-button">入力内容を確認</button></p>
</form>
<!-- END step#reapply -->

<!-- BEGIN step#confirm -->
<p class="_txtc"><strong>こちらの内容で送信します。よろしければ、「送信する」ボタンをクリックしてください。</strong></p>
<div class="form-content">
<!--#include file="form/confirm.html" vars=""-->
</div>
<ul class="form-action">
<li>
<form action="?mode=input" method="post">
<input type="hidden" name="step" value="reapply" />
<input type="hidden" name="takeover" value="{takeover}" />
<p class="button"><button type="submit" name="ACMS_POST_Form_Chain" class="form-button -back">入力画面に戻る</button></p>
</form>
</li>
<li>
<form action="?mode=complete" method="post">
<input type="hidden" name="To[]" value="{email}" />
<input type="hidden" name="AdminReply-To[]" value="{email}" />
<input type="hidden" name="AdminFrom[]" value="{email}" />
<input type="hidden" name="step" value="result" />
<input type="hidden" name="takeover" value="{takeover}" />
<input type="hidden" name="id" value="contact" />
<p class="button"><button type="submit" name="ACMS_POST_Form_Submit" class="form-button">送信する</button></p>
</form>
</li>
</ul>
<!-- END step#confirm -->

<!-- BEGIN step#result -->

<h2 class="h5 _txtc">お問い合わせいただき、ありがとうございました。</h2>
<p class="_txtc _double">登録いただいたメールアドレスに<br>「<strong>【TOCみのお】お問い合わせありがとうございました</strong>」というメールを送信しております。<br>万一、メールが届かない場合は大変お手数ではございますが、電話にてお問い合わせください。<br>いただいたお問い合わせに関しては、担当スタッフから改めて連絡いたしますので今しばらくお待ちください。<br>今後ともご愛顧賜りますようよろしくお願い申し上げます。</p>
<p class="_txtc"><a href="%{BLOG_URL}" class="form-button">トップページ</a></p>
<!-- END step#result -->

<!-- END_MODULE Form -->

</div>
</main>
@endsection

@section(foot-js)
@parent
<script src="https://yubinbango.github.io/yubinbango/yubinbango.js" charset="UTF-8"></script>
<script>
$(document).ready(function(){
function url_query_param() {
var param = new Array();
var search = location.search.replace('?', '').split('&');
search.forEach(function (val) {
var sep_val = val.split('=');
param[sep_val[0]] = sep_val[1];
});
return param;
}
var params = url_query_param();
if( params['category'] ){
var eq = params['category'] * 1 - 1;
$('input[name="category[]"]').eq(eq).prop('checked', true);
}
});
</script>
@endsection
')
#5 /home/users/2/main.jp-mdef/web/toc-minoh/php/main.php(1836): spreadTemplate('@extend("include/layouts/base.html")

@section("head-title")
<title>お問い合わせ | %{ROOT_BLOG_NAME}</title>
@endsection

@section("body-id")contact@endsection

@section("content")
<main class="site-content">
<div class="inner">
<h1 class="page-title">
<span class="ja">お問い合わせ</span>
<span class="en">Contact</span>
</h1>

<!-- BEGIN_MODULE Form -->

<!-- BEGIN step -->
<p class="_txtc"><strong>通常のお問い合わせ、研修・見学・講演依頼については、以下のフォームよりお願いします。</strong></p>
<form action="?mode=confirm" method="post" class="h-adr">
<div class="form-content">
<!--#include file="form/input.html" vars=""-->
</div>
<input type="hidden" name="step" value="confirm" />
<input type="hidden" name="error" value="reapply" />
<input type="hidden" name="id" value="contact" />
<input type="hidden" class="p-country-name" value="Japan">
<p class="button _txtc"><button type="submit" name="ACMS_POST_Form_Confirm" class="form-button">入力内容を確認</button></p>
</form>
<!-- END step -->

<!-- BEGIN step#reapply -->
<p class="_txtc"><strong>通常のお問い合わせ、研修・見学・講演依頼については、以下のフォームよりお願いします。</strong></p>
<form action="?mode=confirm" method="post" class="h-adr">
<div class="form-content">
<!--#include file="form/input.html" vars=""-->
</div>
<input type="hidden" name="step" value="confirm" />
<input type="hidden" name="error" value="reapply" />
<input type="hidden" name="id" value="contact" />
<input type="hidden" class="p-country-name" value="Japan">
<p class="button _txtc"><button type="submit" name="ACMS_POST_Form_Confirm" class="form-button">入力内容を確認</button></p>
</form>
<!-- END step#reapply -->

<!-- BEGIN step#confirm -->
<p class="_txtc"><strong>こちらの内容で送信します。よろしければ、「送信する」ボタンをクリックしてください。</strong></p>
<div class="form-content">
<!--#include file="form/confirm.html" vars=""-->
</div>
<ul class="form-action">
<li>
<form action="?mode=input" method="post">
<input type="hidden" name="step" value="reapply" />
<input type="hidden" name="takeover" value="{takeover}" />
<p class="button"><button type="submit" name="ACMS_POST_Form_Chain" class="form-button -back">入力画面に戻る</button></p>
</form>
</li>
<li>
<form action="?mode=complete" method="post">
<input type="hidden" name="To[]" value="{email}" />
<input type="hidden" name="AdminReply-To[]" value="{email}" />
<input type="hidden" name="AdminFrom[]" value="{email}" />
<input type="hidden" name="step" value="result" />
<input type="hidden" name="takeover" value="{takeover}" />
<input type="hidden" name="id" value="contact" />
<p class="button"><button type="submit" name="ACMS_POST_Form_Submit" class="form-button">送信する</button></p>
</form>
</li>
</ul>
<!-- END step#confirm -->

<!-- BEGIN step#result -->

<h2 class="h5 _txtc">お問い合わせいただき、ありがとうございました。</h2>
<p class="_txtc _double">登録いただいたメールアドレスに<br>「<strong>【TOCみのお】お問い合わせありがとうございました</strong>」というメールを送信しております。<br>万一、メールが届かない場合は大変お手数ではございますが、電話にてお問い合わせください。<br>いただいたお問い合わせに関しては、担当スタッフから改めて連絡いたしますので今しばらくお待ちください。<br>今後ともご愛顧賜りますようよろしくお願い申し上げます。</p>
<p class="_txtc"><a href="%{BLOG_URL}" class="form-button">トップページ</a></p>
<!-- END step#result -->

<!-- END_MODULE Form -->

</div>
</main>
@endsection

@section(foot-js)
@parent
<script src="https://yubinbango.github.io/yubinbango/yubinbango.js" charset="UTF-8"></script>
<script>
$(document).ready(function(){
function url_query_param() {
var param = new Array();
var search = location.search.replace('?', '').split('&');
search.forEach(function (val) {
var sep_val = val.split('=');
param[sep_val[0]] = sep_val[1];
});
return param;
}
var params = url_query_param();
if( params['category'] ){
var eq = params['category'] * 1 - 1;
$('input[name="category[]"]').eq(eq).prop('checked', true);
}
});
</script>
@endsection
')
#6 /home/users/2/main.jp-mdef/web/toc-minoh/index.php(56): require_once('/home/users/2/main.jp-mdef/web/toc-minoh/php/main.php')

Trying to access array offset on value of type null in /home/users/2/main.jp-mdef/web/toc-minoh/php/ACMS/function.php line: 5387

#0 /home/users/2/main.jp-mdef/web/toc-minoh/php/ACMS/function.php(5387): Acms\{closure}(8, 'Trying to access array offset on value of type null', '/home/users/2/main.jp-mdef/web/toc-minoh/php/ACMS/function.php', 5387, Array)
#1 /home/users/2/main.jp-mdef/web/toc-minoh/php/ACMS/RAM.php(34): loadAncestorBlog('parent', 'code')
#2 /home/users/2/main.jp-mdef/web/toc-minoh/php/ACMS/function.php(5353): cacheMethod('loadAncestorBlog', Array)
#3 /home/users/2/main.jp-mdef/web/toc-minoh/php/ACMS/function.php(5494): loadAncestorBlog('parent', 'code')
#4 /home/users/2/main.jp-mdef/web/toc-minoh/php/ACMS/function.php(4073): setGlobalVars('@extend("include/layouts/base.html")

@section("head-title")
<title>お問い合わせ | %{ROOT_BLOG_NAME}</title>
@endsection

@section("body-id")contact@endsection

@section("content")
<main class="site-content">
<div class="inner">
<h1 class="page-title">
<span class="ja">お問い合わせ</span>
<span class="en">Contact</span>
</h1>

<!-- BEGIN_MODULE Form -->

<!-- BEGIN step -->
<p class="_txtc"><strong>通常のお問い合わせ、研修・見学・講演依頼については、以下のフォームよりお願いします。</strong></p>
<form action="?mode=confirm" method="post" class="h-adr">
<div class="form-content">
<!--#include file="form/input.html" vars=""-->
</div>
<input type="hidden" name="step" value="confirm" />
<input type="hidden" name="error" value="reapply" />
<input type="hidden" name="id" value="contact" />
<input type="hidden" class="p-country-name" value="Japan">
<p class="button _txtc"><button type="submit" name="ACMS_POST_Form_Confirm" class="form-button">入力内容を確認</button></p>
</form>
<!-- END step -->

<!-- BEGIN step#reapply -->
<p class="_txtc"><strong>通常のお問い合わせ、研修・見学・講演依頼については、以下のフォームよりお願いします。</strong></p>
<form action="?mode=confirm" method="post" class="h-adr">
<div class="form-content">
<!--#include file="form/input.html" vars=""-->
</div>
<input type="hidden" name="step" value="confirm" />
<input type="hidden" name="error" value="reapply" />
<input type="hidden" name="id" value="contact" />
<input type="hidden" class="p-country-name" value="Japan">
<p class="button _txtc"><button type="submit" name="ACMS_POST_Form_Confirm" class="form-button">入力内容を確認</button></p>
</form>
<!-- END step#reapply -->

<!-- BEGIN step#confirm -->
<p class="_txtc"><strong>こちらの内容で送信します。よろしければ、「送信する」ボタンをクリックしてください。</strong></p>
<div class="form-content">
<!--#include file="form/confirm.html" vars=""-->
</div>
<ul class="form-action">
<li>
<form action="?mode=input" method="post">
<input type="hidden" name="step" value="reapply" />
<input type="hidden" name="takeover" value="{takeover}" />
<p class="button"><button type="submit" name="ACMS_POST_Form_Chain" class="form-button -back">入力画面に戻る</button></p>
</form>
</li>
<li>
<form action="?mode=complete" method="post">
<input type="hidden" name="To[]" value="{email}" />
<input type="hidden" name="AdminReply-To[]" value="{email}" />
<input type="hidden" name="AdminFrom[]" value="{email}" />
<input type="hidden" name="step" value="result" />
<input type="hidden" name="takeover" value="{takeover}" />
<input type="hidden" name="id" value="contact" />
<p class="button"><button type="submit" name="ACMS_POST_Form_Submit" class="form-button">送信する</button></p>
</form>
</li>
</ul>
<!-- END step#confirm -->

<!-- BEGIN step#result -->

<h2 class="h5 _txtc">お問い合わせいただき、ありがとうございました。</h2>
<p class="_txtc _double">登録いただいたメールアドレスに<br>「<strong>【TOCみのお】お問い合わせありがとうございました</strong>」というメールを送信しております。<br>万一、メールが届かない場合は大変お手数ではございますが、電話にてお問い合わせください。<br>いただいたお問い合わせに関しては、担当スタッフから改めて連絡いたしますので今しばらくお待ちください。<br>今後ともご愛顧賜りますようよろしくお願い申し上げます。</p>
<p class="_txtc"><a href="%{BLOG_URL}" class="form-button">トップページ</a></p>
<!-- END step#result -->

<!-- END_MODULE Form -->

</div>
</main>
@endsection

@section(foot-js)
@parent
<script src="https://yubinbango.github.io/yubinbango/yubinbango.js" charset="UTF-8"></script>
<script>
$(document).ready(function(){
function url_query_param() {
var param = new Array();
var search = location.search.replace('?', '').split('&');
search.forEach(function (val) {
var sep_val = val.split('=');
param[sep_val[0]] = sep_val[1];
});
return param;
}
var params = url_query_param();
if( params['category'] ){
var eq = params['category'] * 1 - 1;
$('input[name="category[]"]').eq(eq).prop('checked', true);
}
});
</script>
@endsection
')
#5 /home/users/2/main.jp-mdef/web/toc-minoh/php/main.php(1836): spreadTemplate('@extend("include/layouts/base.html")

@section("head-title")
<title>お問い合わせ | %{ROOT_BLOG_NAME}</title>
@endsection

@section("body-id")contact@endsection

@section("content")
<main class="site-content">
<div class="inner">
<h1 class="page-title">
<span class="ja">お問い合わせ</span>
<span class="en">Contact</span>
</h1>

<!-- BEGIN_MODULE Form -->

<!-- BEGIN step -->
<p class="_txtc"><strong>通常のお問い合わせ、研修・見学・講演依頼については、以下のフォームよりお願いします。</strong></p>
<form action="?mode=confirm" method="post" class="h-adr">
<div class="form-content">
<!--#include file="form/input.html" vars=""-->
</div>
<input type="hidden" name="step" value="confirm" />
<input type="hidden" name="error" value="reapply" />
<input type="hidden" name="id" value="contact" />
<input type="hidden" class="p-country-name" value="Japan">
<p class="button _txtc"><button type="submit" name="ACMS_POST_Form_Confirm" class="form-button">入力内容を確認</button></p>
</form>
<!-- END step -->

<!-- BEGIN step#reapply -->
<p class="_txtc"><strong>通常のお問い合わせ、研修・見学・講演依頼については、以下のフォームよりお願いします。</strong></p>
<form action="?mode=confirm" method="post" class="h-adr">
<div class="form-content">
<!--#include file="form/input.html" vars=""-->
</div>
<input type="hidden" name="step" value="confirm" />
<input type="hidden" name="error" value="reapply" />
<input type="hidden" name="id" value="contact" />
<input type="hidden" class="p-country-name" value="Japan">
<p class="button _txtc"><button type="submit" name="ACMS_POST_Form_Confirm" class="form-button">入力内容を確認</button></p>
</form>
<!-- END step#reapply -->

<!-- BEGIN step#confirm -->
<p class="_txtc"><strong>こちらの内容で送信します。よろしければ、「送信する」ボタンをクリックしてください。</strong></p>
<div class="form-content">
<!--#include file="form/confirm.html" vars=""-->
</div>
<ul class="form-action">
<li>
<form action="?mode=input" method="post">
<input type="hidden" name="step" value="reapply" />
<input type="hidden" name="takeover" value="{takeover}" />
<p class="button"><button type="submit" name="ACMS_POST_Form_Chain" class="form-button -back">入力画面に戻る</button></p>
</form>
</li>
<li>
<form action="?mode=complete" method="post">
<input type="hidden" name="To[]" value="{email}" />
<input type="hidden" name="AdminReply-To[]" value="{email}" />
<input type="hidden" name="AdminFrom[]" value="{email}" />
<input type="hidden" name="step" value="result" />
<input type="hidden" name="takeover" value="{takeover}" />
<input type="hidden" name="id" value="contact" />
<p class="button"><button type="submit" name="ACMS_POST_Form_Submit" class="form-button">送信する</button></p>
</form>
</li>
</ul>
<!-- END step#confirm -->

<!-- BEGIN step#result -->

<h2 class="h5 _txtc">お問い合わせいただき、ありがとうございました。</h2>
<p class="_txtc _double">登録いただいたメールアドレスに<br>「<strong>【TOCみのお】お問い合わせありがとうございました</strong>」というメールを送信しております。<br>万一、メールが届かない場合は大変お手数ではございますが、電話にてお問い合わせください。<br>いただいたお問い合わせに関しては、担当スタッフから改めて連絡いたしますので今しばらくお待ちください。<br>今後ともご愛顧賜りますようよろしくお願い申し上げます。</p>
<p class="_txtc"><a href="%{BLOG_URL}" class="form-button">トップページ</a></p>
<!-- END step#result -->

<!-- END_MODULE Form -->

</div>
</main>
@endsection

@section(foot-js)
@parent
<script src="https://yubinbango.github.io/yubinbango/yubinbango.js" charset="UTF-8"></script>
<script>
$(document).ready(function(){
function url_query_param() {
var param = new Array();
var search = location.search.replace('?', '').split('&');
search.forEach(function (val) {
var sep_val = val.split('=');
param[sep_val[0]] = sep_val[1];
});
return param;
}
var params = url_query_param();
if( params['category'] ){
var eq = params['category'] * 1 - 1;
$('input[name="category[]"]').eq(eq).prop('checked', true);
}
});
</script>
@endsection
')
#6 /home/users/2/main.jp-mdef/web/toc-minoh/index.php(56): require_once('/home/users/2/main.jp-mdef/web/toc-minoh/php/main.php')

Trying to access array offset on value of type null in /home/users/2/main.jp-mdef/web/toc-minoh/php/ACMS/function.php line: 5387

#0 /home/users/2/main.jp-mdef/web/toc-minoh/php/ACMS/function.php(5387): Acms\{closure}(8, 'Trying to access array offset on value of type null', '/home/users/2/main.jp-mdef/web/toc-minoh/php/ACMS/function.php', 5387, Array)
#1 /home/users/2/main.jp-mdef/web/toc-minoh/php/ACMS/RAM.php(34): loadAncestorBlog('parent', 'name')
#2 /home/users/2/main.jp-mdef/web/toc-minoh/php/ACMS/function.php(5353): cacheMethod('loadAncestorBlog', Array)
#3 /home/users/2/main.jp-mdef/web/toc-minoh/php/ACMS/function.php(5496): loadAncestorBlog('parent', 'name')
#4 /home/users/2/main.jp-mdef/web/toc-minoh/php/ACMS/function.php(4073): setGlobalVars('@extend("include/layouts/base.html")

@section("head-title")
<title>お問い合わせ | %{ROOT_BLOG_NAME}</title>
@endsection

@section("body-id")contact@endsection

@section("content")
<main class="site-content">
<div class="inner">
<h1 class="page-title">
<span class="ja">お問い合わせ</span>
<span class="en">Contact</span>
</h1>

<!-- BEGIN_MODULE Form -->

<!-- BEGIN step -->
<p class="_txtc"><strong>通常のお問い合わせ、研修・見学・講演依頼については、以下のフォームよりお願いします。</strong></p>
<form action="?mode=confirm" method="post" class="h-adr">
<div class="form-content">
<!--#include file="form/input.html" vars=""-->
</div>
<input type="hidden" name="step" value="confirm" />
<input type="hidden" name="error" value="reapply" />
<input type="hidden" name="id" value="contact" />
<input type="hidden" class="p-country-name" value="Japan">
<p class="button _txtc"><button type="submit" name="ACMS_POST_Form_Confirm" class="form-button">入力内容を確認</button></p>
</form>
<!-- END step -->

<!-- BEGIN step#reapply -->
<p class="_txtc"><strong>通常のお問い合わせ、研修・見学・講演依頼については、以下のフォームよりお願いします。</strong></p>
<form action="?mode=confirm" method="post" class="h-adr">
<div class="form-content">
<!--#include file="form/input.html" vars=""-->
</div>
<input type="hidden" name="step" value="confirm" />
<input type="hidden" name="error" value="reapply" />
<input type="hidden" name="id" value="contact" />
<input type="hidden" class="p-country-name" value="Japan">
<p class="button _txtc"><button type="submit" name="ACMS_POST_Form_Confirm" class="form-button">入力内容を確認</button></p>
</form>
<!-- END step#reapply -->

<!-- BEGIN step#confirm -->
<p class="_txtc"><strong>こちらの内容で送信します。よろしければ、「送信する」ボタンをクリックしてください。</strong></p>
<div class="form-content">
<!--#include file="form/confirm.html" vars=""-->
</div>
<ul class="form-action">
<li>
<form action="?mode=input" method="post">
<input type="hidden" name="step" value="reapply" />
<input type="hidden" name="takeover" value="{takeover}" />
<p class="button"><button type="submit" name="ACMS_POST_Form_Chain" class="form-button -back">入力画面に戻る</button></p>
</form>
</li>
<li>
<form action="?mode=complete" method="post">
<input type="hidden" name="To[]" value="{email}" />
<input type="hidden" name="AdminReply-To[]" value="{email}" />
<input type="hidden" name="AdminFrom[]" value="{email}" />
<input type="hidden" name="step" value="result" />
<input type="hidden" name="takeover" value="{takeover}" />
<input type="hidden" name="id" value="contact" />
<p class="button"><button type="submit" name="ACMS_POST_Form_Submit" class="form-button">送信する</button></p>
</form>
</li>
</ul>
<!-- END step#confirm -->

<!-- BEGIN step#result -->

<h2 class="h5 _txtc">お問い合わせいただき、ありがとうございました。</h2>
<p class="_txtc _double">登録いただいたメールアドレスに<br>「<strong>【TOCみのお】お問い合わせありがとうございました</strong>」というメールを送信しております。<br>万一、メールが届かない場合は大変お手数ではございますが、電話にてお問い合わせください。<br>いただいたお問い合わせに関しては、担当スタッフから改めて連絡いたしますので今しばらくお待ちください。<br>今後ともご愛顧賜りますようよろしくお願い申し上げます。</p>
<p class="_txtc"><a href="%{BLOG_URL}" class="form-button">トップページ</a></p>
<!-- END step#result -->

<!-- END_MODULE Form -->

</div>
</main>
@endsection

@section(foot-js)
@parent
<script src="https://yubinbango.github.io/yubinbango/yubinbango.js" charset="UTF-8"></script>
<script>
$(document).ready(function(){
function url_query_param() {
var param = new Array();
var search = location.search.replace('?', '').split('&');
search.forEach(function (val) {
var sep_val = val.split('=');
param[sep_val[0]] = sep_val[1];
});
return param;
}
var params = url_query_param();
if( params['category'] ){
var eq = params['category'] * 1 - 1;
$('input[name="category[]"]').eq(eq).prop('checked', true);
}
});
</script>
@endsection
')
#5 /home/users/2/main.jp-mdef/web/toc-minoh/php/main.php(1836): spreadTemplate('@extend("include/layouts/base.html")

@section("head-title")
<title>お問い合わせ | %{ROOT_BLOG_NAME}</title>
@endsection

@section("body-id")contact@endsection

@section("content")
<main class="site-content">
<div class="inner">
<h1 class="page-title">
<span class="ja">お問い合わせ</span>
<span class="en">Contact</span>
</h1>

<!-- BEGIN_MODULE Form -->

<!-- BEGIN step -->
<p class="_txtc"><strong>通常のお問い合わせ、研修・見学・講演依頼については、以下のフォームよりお願いします。</strong></p>
<form action="?mode=confirm" method="post" class="h-adr">
<div class="form-content">
<!--#include file="form/input.html" vars=""-->
</div>
<input type="hidden" name="step" value="confirm" />
<input type="hidden" name="error" value="reapply" />
<input type="hidden" name="id" value="contact" />
<input type="hidden" class="p-country-name" value="Japan">
<p class="button _txtc"><button type="submit" name="ACMS_POST_Form_Confirm" class="form-button">入力内容を確認</button></p>
</form>
<!-- END step -->

<!-- BEGIN step#reapply -->
<p class="_txtc"><strong>通常のお問い合わせ、研修・見学・講演依頼については、以下のフォームよりお願いします。</strong></p>
<form action="?mode=confirm" method="post" class="h-adr">
<div class="form-content">
<!--#include file="form/input.html" vars=""-->
</div>
<input type="hidden" name="step" value="confirm" />
<input type="hidden" name="error" value="reapply" />
<input type="hidden" name="id" value="contact" />
<input type="hidden" class="p-country-name" value="Japan">
<p class="button _txtc"><button type="submit" name="ACMS_POST_Form_Confirm" class="form-button">入力内容を確認</button></p>
</form>
<!-- END step#reapply -->

<!-- BEGIN step#confirm -->
<p class="_txtc"><strong>こちらの内容で送信します。よろしければ、「送信する」ボタンをクリックしてください。</strong></p>
<div class="form-content">
<!--#include file="form/confirm.html" vars=""-->
</div>
<ul class="form-action">
<li>
<form action="?mode=input" method="post">
<input type="hidden" name="step" value="reapply" />
<input type="hidden" name="takeover" value="{takeover}" />
<p class="button"><button type="submit" name="ACMS_POST_Form_Chain" class="form-button -back">入力画面に戻る</button></p>
</form>
</li>
<li>
<form action="?mode=complete" method="post">
<input type="hidden" name="To[]" value="{email}" />
<input type="hidden" name="AdminReply-To[]" value="{email}" />
<input type="hidden" name="AdminFrom[]" value="{email}" />
<input type="hidden" name="step" value="result" />
<input type="hidden" name="takeover" value="{takeover}" />
<input type="hidden" name="id" value="contact" />
<p class="button"><button type="submit" name="ACMS_POST_Form_Submit" class="form-button">送信する</button></p>
</form>
</li>
</ul>
<!-- END step#confirm -->

<!-- BEGIN step#result -->

<h2 class="h5 _txtc">お問い合わせいただき、ありがとうございました。</h2>
<p class="_txtc _double">登録いただいたメールアドレスに<br>「<strong>【TOCみのお】お問い合わせありがとうございました</strong>」というメールを送信しております。<br>万一、メールが届かない場合は大変お手数ではございますが、電話にてお問い合わせください。<br>いただいたお問い合わせに関しては、担当スタッフから改めて連絡いたしますので今しばらくお待ちください。<br>今後ともご愛顧賜りますようよろしくお願い申し上げます。</p>
<p class="_txtc"><a href="%{BLOG_URL}" class="form-button">トップページ</a></p>
<!-- END step#result -->

<!-- END_MODULE Form -->

</div>
</main>
@endsection

@section(foot-js)
@parent
<script src="https://yubinbango.github.io/yubinbango/yubinbango.js" charset="UTF-8"></script>
<script>
$(document).ready(function(){
function url_query_param() {
var param = new Array();
var search = location.search.replace('?', '').split('&');
search.forEach(function (val) {
var sep_val = val.split('=');
param[sep_val[0]] = sep_val[1];
});
return param;
}
var params = url_query_param();
if( params['category'] ){
var eq = params['category'] * 1 - 1;
$('input[name="category[]"]').eq(eq).prop('checked', true);
}
});
</script>
@endsection
')
#6 /home/users/2/main.jp-mdef/web/toc-minoh/index.php(56): require_once('/home/users/2/main.jp-mdef/web/toc-minoh/php/main.php')

Trying to access array offset on value of type null in /home/users/2/main.jp-mdef/web/toc-minoh/php/ACMS/function.php line: 5387

#0 /home/users/2/main.jp-mdef/web/toc-minoh/php/ACMS/function.php(5387): Acms\{closure}(8, 'Trying to access array offset on value of type null', '/home/users/2/main.jp-mdef/web/toc-minoh/php/ACMS/function.php', 5387, Array)
#1 /home/users/2/main.jp-mdef/web/toc-minoh/php/ACMS/RAM.php(34): loadAncestorBlog('parent', 'id')
#2 /home/users/2/main.jp-mdef/web/toc-minoh/php/ACMS/function.php(5353): cacheMethod('loadAncestorBlog', Array)
#3 /home/users/2/main.jp-mdef/web/toc-minoh/php/ACMS/function.php(5558): loadAncestorBlog('parent', 'id')
#4 /home/users/2/main.jp-mdef/web/toc-minoh/php/ACMS/function.php(4073): setGlobalVars('@extend("include/layouts/base.html")

@section("head-title")
<title>お問い合わせ | %{ROOT_BLOG_NAME}</title>
@endsection

@section("body-id")contact@endsection

@section("content")
<main class="site-content">
<div class="inner">
<h1 class="page-title">
<span class="ja">お問い合わせ</span>
<span class="en">Contact</span>
</h1>

<!-- BEGIN_MODULE Form -->

<!-- BEGIN step -->
<p class="_txtc"><strong>通常のお問い合わせ、研修・見学・講演依頼については、以下のフォームよりお願いします。</strong></p>
<form action="?mode=confirm" method="post" class="h-adr">
<div class="form-content">
<!--#include file="form/input.html" vars=""-->
</div>
<input type="hidden" name="step" value="confirm" />
<input type="hidden" name="error" value="reapply" />
<input type="hidden" name="id" value="contact" />
<input type="hidden" class="p-country-name" value="Japan">
<p class="button _txtc"><button type="submit" name="ACMS_POST_Form_Confirm" class="form-button">入力内容を確認</button></p>
</form>
<!-- END step -->

<!-- BEGIN step#reapply -->
<p class="_txtc"><strong>通常のお問い合わせ、研修・見学・講演依頼については、以下のフォームよりお願いします。</strong></p>
<form action="?mode=confirm" method="post" class="h-adr">
<div class="form-content">
<!--#include file="form/input.html" vars=""-->
</div>
<input type="hidden" name="step" value="confirm" />
<input type="hidden" name="error" value="reapply" />
<input type="hidden" name="id" value="contact" />
<input type="hidden" class="p-country-name" value="Japan">
<p class="button _txtc"><button type="submit" name="ACMS_POST_Form_Confirm" class="form-button">入力内容を確認</button></p>
</form>
<!-- END step#reapply -->

<!-- BEGIN step#confirm -->
<p class="_txtc"><strong>こちらの内容で送信します。よろしければ、「送信する」ボタンをクリックしてください。</strong></p>
<div class="form-content">
<!--#include file="form/confirm.html" vars=""-->
</div>
<ul class="form-action">
<li>
<form action="?mode=input" method="post">
<input type="hidden" name="step" value="reapply" />
<input type="hidden" name="takeover" value="{takeover}" />
<p class="button"><button type="submit" name="ACMS_POST_Form_Chain" class="form-button -back">入力画面に戻る</button></p>
</form>
</li>
<li>
<form action="?mode=complete" method="post">
<input type="hidden" name="To[]" value="{email}" />
<input type="hidden" name="AdminReply-To[]" value="{email}" />
<input type="hidden" name="AdminFrom[]" value="{email}" />
<input type="hidden" name="step" value="result" />
<input type="hidden" name="takeover" value="{takeover}" />
<input type="hidden" name="id" value="contact" />
<p class="button"><button type="submit" name="ACMS_POST_Form_Submit" class="form-button">送信する</button></p>
</form>
</li>
</ul>
<!-- END step#confirm -->

<!-- BEGIN step#result -->

<h2 class="h5 _txtc">お問い合わせいただき、ありがとうございました。</h2>
<p class="_txtc _double">登録いただいたメールアドレスに<br>「<strong>【TOCみのお】お問い合わせありがとうございました</strong>」というメールを送信しております。<br>万一、メールが届かない場合は大変お手数ではございますが、電話にてお問い合わせください。<br>いただいたお問い合わせに関しては、担当スタッフから改めて連絡いたしますので今しばらくお待ちください。<br>今後ともご愛顧賜りますようよろしくお願い申し上げます。</p>
<p class="_txtc"><a href="%{BLOG_URL}" class="form-button">トップページ</a></p>
<!-- END step#result -->

<!-- END_MODULE Form -->

</div>
</main>
@endsection

@section(foot-js)
@parent
<script src="https://yubinbango.github.io/yubinbango/yubinbango.js" charset="UTF-8"></script>
<script>
$(document).ready(function(){
function url_query_param() {
var param = new Array();
var search = location.search.replace('?', '').split('&');
search.forEach(function (val) {
var sep_val = val.split('=');
param[sep_val[0]] = sep_val[1];
});
return param;
}
var params = url_query_param();
if( params['category'] ){
var eq = params['category'] * 1 - 1;
$('input[name="category[]"]').eq(eq).prop('checked', true);
}
});
</script>
@endsection
')
#5 /home/users/2/main.jp-mdef/web/toc-minoh/php/main.php(1836): spreadTemplate('@extend("include/layouts/base.html")

@section("head-title")
<title>お問い合わせ | %{ROOT_BLOG_NAME}</title>
@endsection

@section("body-id")contact@endsection

@section("content")
<main class="site-content">
<div class="inner">
<h1 class="page-title">
<span class="ja">お問い合わせ</span>
<span class="en">Contact</span>
</h1>

<!-- BEGIN_MODULE Form -->

<!-- BEGIN step -->
<p class="_txtc"><strong>通常のお問い合わせ、研修・見学・講演依頼については、以下のフォームよりお願いします。</strong></p>
<form action="?mode=confirm" method="post" class="h-adr">
<div class="form-content">
<!--#include file="form/input.html" vars=""-->
</div>
<input type="hidden" name="step" value="confirm" />
<input type="hidden" name="error" value="reapply" />
<input type="hidden" name="id" value="contact" />
<input type="hidden" class="p-country-name" value="Japan">
<p class="button _txtc"><button type="submit" name="ACMS_POST_Form_Confirm" class="form-button">入力内容を確認</button></p>
</form>
<!-- END step -->

<!-- BEGIN step#reapply -->
<p class="_txtc"><strong>通常のお問い合わせ、研修・見学・講演依頼については、以下のフォームよりお願いします。</strong></p>
<form action="?mode=confirm" method="post" class="h-adr">
<div class="form-content">
<!--#include file="form/input.html" vars=""-->
</div>
<input type="hidden" name="step" value="confirm" />
<input type="hidden" name="error" value="reapply" />
<input type="hidden" name="id" value="contact" />
<input type="hidden" class="p-country-name" value="Japan">
<p class="button _txtc"><button type="submit" name="ACMS_POST_Form_Confirm" class="form-button">入力内容を確認</button></p>
</form>
<!-- END step#reapply -->

<!-- BEGIN step#confirm -->
<p class="_txtc"><strong>こちらの内容で送信します。よろしければ、「送信する」ボタンをクリックしてください。</strong></p>
<div class="form-content">
<!--#include file="form/confirm.html" vars=""-->
</div>
<ul class="form-action">
<li>
<form action="?mode=input" method="post">
<input type="hidden" name="step" value="reapply" />
<input type="hidden" name="takeover" value="{takeover}" />
<p class="button"><button type="submit" name="ACMS_POST_Form_Chain" class="form-button -back">入力画面に戻る</button></p>
</form>
</li>
<li>
<form action="?mode=complete" method="post">
<input type="hidden" name="To[]" value="{email}" />
<input type="hidden" name="AdminReply-To[]" value="{email}" />
<input type="hidden" name="AdminFrom[]" value="{email}" />
<input type="hidden" name="step" value="result" />
<input type="hidden" name="takeover" value="{takeover}" />
<input type="hidden" name="id" value="contact" />
<p class="button"><button type="submit" name="ACMS_POST_Form_Submit" class="form-button">送信する</button></p>
</form>
</li>
</ul>
<!-- END step#confirm -->

<!-- BEGIN step#result -->

<h2 class="h5 _txtc">お問い合わせいただき、ありがとうございました。</h2>
<p class="_txtc _double">登録いただいたメールアドレスに<br>「<strong>【TOCみのお】お問い合わせありがとうございました</strong>」というメールを送信しております。<br>万一、メールが届かない場合は大変お手数ではございますが、電話にてお問い合わせください。<br>いただいたお問い合わせに関しては、担当スタッフから改めて連絡いたしますので今しばらくお待ちください。<br>今後ともご愛顧賜りますようよろしくお願い申し上げます。</p>
<p class="_txtc"><a href="%{BLOG_URL}" class="form-button">トップページ</a></p>
<!-- END step#result -->

<!-- END_MODULE Form -->

</div>
</main>
@endsection

@section(foot-js)
@parent
<script src="https://yubinbango.github.io/yubinbango/yubinbango.js" charset="UTF-8"></script>
<script>
$(document).ready(function(){
function url_query_param() {
var param = new Array();
var search = location.search.replace('?', '').split('&');
search.forEach(function (val) {
var sep_val = val.split('=');
param[sep_val[0]] = sep_val[1];
});
return param;
}
var params = url_query_param();
if( params['category'] ){
var eq = params['category'] * 1 - 1;
$('input[name="category[]"]').eq(eq).prop('checked', true);
}
});
</script>
@endsection
')
#6 /home/users/2/main.jp-mdef/web/toc-minoh/index.php(56): require_once('/home/users/2/main.jp-mdef/web/toc-minoh/php/main.php')

Trying to access array offset on value of type null in /home/users/2/main.jp-mdef/web/toc-minoh/php/ACMS/function.php line: 5387

#0 /home/users/2/main.jp-mdef/web/toc-minoh/php/ACMS/function.php(5387): Acms\{closure}(8, 'Trying to access array offset on value of type null', '/home/users/2/main.jp-mdef/web/toc-minoh/php/ACMS/function.php', 5387, Array)
#1 /home/users/2/main.jp-mdef/web/toc-minoh/php/ACMS/RAM.php(34): loadAncestorBlog('parent', 'id')
#2 /home/users/2/main.jp-mdef/web/toc-minoh/php/ACMS/function.php(5353): cacheMethod('loadAncestorBlog', Array)
#3 /home/users/2/main.jp-mdef/web/toc-minoh/php/ACMS/GET/Ogp.php(456): loadAncestorBlog('parent', 'id')
#4 /home/users/2/main.jp-mdef/web/toc-minoh/php/ACMS/GET/Ogp.php(76): getRootBlogTitle()
#5 /home/users/2/main.jp-mdef/web/toc-minoh/php/ACMS/GET/Ogp.php(27): getTitle()
#6 /home/users/2/main.jp-mdef/web/toc-minoh/php/ACMS/GET.php(203): get()
#7 /home/users/2/main.jp-mdef/web/toc-minoh/php/ACMS/function.php(5233): fire()
#8 /home/users/2/main.jp-mdef/web/toc-minoh/php/ACMS/function.php(4627): boot('Ogp', '

<title>お問い合わせ | TOCみのお - 箕面市・梅田・奈良 地域密着型の歯と口の機能支援センター</title>

<link rel="canonical" href="https://toc-minoh.jp/">
', '', Field_Validation, Field)
#9 /home/users/2/main.jp-mdef/web/toc-minoh/php/ACMS/function.php(4523): mainBuild('<!DOCTYPE html>
<html lang="ja">
<head>

<!-- Start of include : source=themes/toc/include/head/ga.html -->
<!-- BEGIN_MODULE Touch_Unlogin -->

<!-- END_MODULE Touch_Unlogin -->

<!-- End of include : source=themes/toc/include/head/ga.html -->




<!-- Start of include : source=themes/toc/include/head/meta.html -->
<meta charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<meta http-equiv="X-UA-Compatible" content="ie=edge">
<!-- BEGIN_MODULE Ogp -->

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<header class="site-header">
<h1 class="logo">
<a href="/">
<span class="text">箕面市・梅田・奈良<br>地域密着型の歯と口の<br>機能支援センター</span>
<span class="image"><img src="/themes/toc/images/logo.svg" alt=""></span>
</a>
</h1>
<ul class="global-nav">
<li class="item"><a href="/about/">TOCみのおについて<span class="en">About us</span></a></li>
<li class="item"><a href="/seminar/">講演会のお知らせ<span class="en">Report</span></a></li>
<li class="item"><a href="/report/">活動報告<span class="en">Seminar</span></a></li>
<li class="item"><a href="/class/">CLASSについて<span class="en">Children’s Local Across-the-board Support Seminar</span></a></li>
<!-- <li class="item"><a href="/staff/">STAFFのご紹介<span class="en">Staff</span></a></li> -->
<!-- <li class="item"><a href="/faq/">よくある質問<span class="en">FAQ</span></a></li> -->
<li class="contact"><a href="/contact/" class="button-a -gray"><i class="icon -contact"></i>お問い合わせ</a></li>
<li class="tel"><a href="tel:072-743-8571">TEL:072-743-8571</a></li>
<li class="access"><a href="https://g.page/TerashimaDentalClinic?share" target="_blank"><i class="icon -pin"></i>TOCみのお(寺嶋⻭科)まで、<br />牧落駅東出⼝より15m</a></li>
</ul>
<dl class="contact-list">
<dt>TOC奈良へのお問い合わせ</dt>
<dd><a href="/contact/?category=4" class="button-a"><i class="icon -contact"></i>TOC奈良</a></dd>
<!--
<dt>TOC大阪北区へのお問い合わせ</dt>
<dd><a href="/contact/?category=5" class="button-a"><i class="icon -contact"></i>TOC梅田</a></dd>
-->
</dl>
<ul class="button-list">
<li><a href="/contact/?category=3" class="button-a -primary">講演会のご依頼</a></li>
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<li class="banner"><a href="https://www.mdef.jp/" target="_blank"><img src="/themes/toc/images/banner_terashima.png" alt="歯と口の機能支援センターみのお 寺嶋歯科医院"></a></li>
</ul>
<a href="" class="sp-nav-button"><span></span><span></span><span></span></a>
</header>

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<main class="site-content">
<div class="inner">
<h1 class="page-title">
<span class="ja">お問い合わせ</span>
<span class="en">Contact</span>
</h1>

<!-- BEGIN_MODULE Form -->

<!-- BEGIN step -->
<p class="_txtc"><strong>通常のお問い合わせ、研修・見学・講演依頼については、以下のフォームよりお願いします。</strong></p>
<form action="?mode=confirm" method="post" class="h-adr">
<div class="form-content">
<!-- Start of include : source=themes/toc/contact/form/input.html -->

<div class="form-row">
<label class="form-col" for="category">お問い合わせ種別 <span class="required">(必須)</span></label>
<div class="form-col">
<label class="radio-button"><input type="radio" name="category[]" value="通常のお問い合わせ"{category:checked#通常のお問い合わせ}> <span>通常のお問い合わせ</span></label>
<label class="radio-button"><input type="radio" name="category[]" value="在宅診療の依頼"{category:checked#在宅診療の依頼}> <span>在宅診療の依頼</span></label>
<label class="radio-button"><input type="radio" name="category[]" value="研修・見学・講演依頼"{category:checked#研修・見学・講演依頼}> <span>研修・見学・講演依頼</span></label>
<label class="radio-button"><input type="radio" name="category[]" value="TOC奈良について"{category:checked#TOC奈良について}> <span>TOC奈良について</span></label>
<!-- <label class="radio-button"><input type="radio" name="category[]" value="TOC大阪北区について"{category:checked#TOC大阪北区について}> <span>TOC大阪北区について</span></label> -->
<label class="radio-button"><input type="radio" name="category[]" value="その他"{category:checked#その他}> <span>その他</span></label>
<input type="hidden" name="field[]" value="category">
<input type="hidden" name="category:v#required">
<!-- BEGIN category:validator -->
<span class="error">お問い合わせ種別を選択してください。</span>
<!-- END category:validator -->
</div>
</div>

<div class="form-row">
<label class="form-col" for="division">所属団体 <span class="required">(必須)</span></label>
<div class="form-col">
<input id="division" type="text" name="division" value="{division}" placeholder="例)歯と口の機能支援センターみのお" class="text-field <!-- BEGIN name:validator -->-error<!-- END name:validator -->" required />
<input type="hidden" name="field[]" value="division" />
<input type="hidden" name="division:v#required" />
<input type="hidden" name="division:c" value="KV" />
<!-- BEGIN division:validator -->
<span class="error">所属団体を入力してください。</span>
<!-- END division:validator -->
</div>
</div>

<div class="form-row">
<label class="form-col" for="name">お名前 <span class="required">(必須)</span></label>
<div class="form-col">
<input id="name" type="text" name="name" value="{name}" placeholder="例)箕面 太郎" class="text-field <!-- BEGIN name:validator -->-error<!-- END name:validator -->" required />
<input type="hidden" name="field[]" value="name" />
<input type="hidden" name="name:v#required" />
<input type="hidden" name="name:c" value="KV" />
<!-- BEGIN name:validator -->
<span class="error">お名前を入力してください。</span>
<!-- END name:validator -->
</div>
</div>

<div class="form-row">
<label class="form-col" for="email">メールアドレス <span class="required">(必須)</span></label>
<div class="form-col">
<input id="email" name="email" type="email" value="{email}" placeholder="例)d&#101;n&#116;&#97;&#108;&#64;&#109;de&#102;.jp" class="text-field <!-- BEGIN email:validator -->-error<!-- END email:validator -->" required />
<input type="hidden" name="field[]" value="email" />
<input type="hidden" name="email:v#required" />
<input type="hidden" name="email:c" value="a" />
<input type="hidden" name="email:v#email" />
<!-- BEGIN email:validator -->
<span class="error">正しいメールアドレスを入力してください。</span>
<!-- END email:validator -->
</div>
</div>

<div class="form-row">
<label class="form-col" for="telephone">電話番号 <span class="required">(必須)</span></label>
<div class="form-col">
<input id="telephone" name="telephone" type="tel" value="{telephone}" placeholder="例)072-721-2562" class="text-field <!-- BEGIN telephone:validator -->-error<!-- END telephone:validator -->" required />
<input type="hidden" name="field[]" value="telephone" />
<input type="hidden" name="telephone:v#required" />
<input type="hidden" name="telephone:c" value="a" />
<!-- BEGIN telephone:validator -->
<span class="error">電話番号を入力してください。</span>
<!-- END telephone:validator -->
</div>
</div>

<div class="form-row">
<label class="form-col" for="address2">住所 <span class="required">(必須)</span></label>
<div class="form-col">
<div class="form-inline">
<div class="form-col">〒</div>
<div class="form-col">
<input id="address1" type="text" name="address1" value="{address1}" placeholder="例)5620042" class="text-field p-postal-code <!-- BEGIN name:validator -->-error<!-- END name:validator -->" required maxlength="8" />
<input type="hidden" name="field[]" value="address1" />
<input type="hidden" name="address1:v#required" />
<input type="hidden" name="address1:c" value="KV" />
</div>
<div class="form-col only-pc"><small>※ハイフンを除く半角数字のみで入力してください</small></div>
</div>
<div class="form-inline">
<input id="address2" type="text" name="address2" value="{address2}" placeholder="例)⼤阪府箕⾯市百楽荘1-3-21" class="text-field p-region p-locality p-street-address p-extended-address <!-- BEGIN name:validator -->-error<!-- END name:validator -->" required />
<input type="hidden" name="field[]" value="address2" />
<input type="hidden" name="address2:v#required" />
<input type="hidden" name="address2:c" value="KV" />
</div>
<!-- BEGIN address2:validator -->
<span class="error">住所を入力してください。</span>
<!-- END address2:validator -->
</div>
</div>

<div class="form-row">
<label for="" class="form-col">お問い合わせ内容 <span class="required">(必須)</span></label>
<div class="form-col">
<textarea id="inquiry" name="inquiry" cols="60" rows="5" class="text-field <!-- BEGIN inquiry:validator -->-error<!-- END inquiry:validator -->" required placeholder="※研修、見学、講演のご依頼の場合は、目的、ご希望内容、ご希望の時間帯もご記入ください">{inquiry}</textarea>
<input type="hidden" name="field[]" value="inquiry" />
<input type="hidden" name="inquiry:v#required" />
<input type="hidden" name="inquiry:c" value="KV" />
<!-- BEGIN inquiry:validator -->
<span class="error">お問い合わせ内容を入力してください。</span>
<!-- END inquiry:validator -->
</div>
</div>

<p class="_txtc">ご入力いただいたお名前、メールアドレス、電話番号などの個人情報は、お問い合わせやご請求に対する回答の目的でのみ利用させていただきます。<br />
<label class="check-agree">
<input type="checkbox" name="agreement" value="同意する" {agreement:checked#同意する} required> 同意する
<input type="hidden" name="field[]" value="agreement" />
<input type="hidden" name="agreement:v#required" />
<input type="hidden" name="agreement_check" type="text" value="同意する" />
<input type="hidden" name="field[]" value="agreement_check" />
<input type="hidden" name="agreement_check:v#equalTo" value="agreement" />
<!-- BEGIN agreement_check:validator -->
<span class="error">個人情報の取り扱いについて同意してください。</span>
<!-- END agreement_check:validator -->
</label>
</p>

<!-- End of include : source=themes/toc/contact/form/input.html -->

</div>
<input type="hidden" name="step" value="confirm" />
<input type="hidden" name="error" value="reapply" />
<input type="hidden" name="id" value="contact" />
<input type="hidden" class="p-country-name" value="Japan">
<p class="button _txtc"><button type="submit" name="ACMS_POST_Form_Confirm" class="form-button">入力内容を確認</button></p>
</form>
<!-- END step -->

<!-- BEGIN step#reapply -->
<p class="_txtc"><strong>通常のお問い合わせ、研修・見学・講演依頼については、以下のフォームよりお願いします。</strong></p>
<form action="?mode=confirm" method="post" class="h-adr">
<div class="form-content">
<!-- Start of include : source=themes/toc/contact/form/input.html -->

<div class="form-row">
<label class="form-col" for="category">お問い合わせ種別 <span class="required">(必須)</span></label>
<div class="form-col">
<label class="radio-button"><input type="radio" name="category[]" value="通常のお問い合わせ"{category:checked#通常のお問い合わせ}> <span>通常のお問い合わせ</span></label>
<label class="radio-button"><input type="radio" name="category[]" value="在宅診療の依頼"{category:checked#在宅診療の依頼}> <span>在宅診療の依頼</span></label>
<label class="radio-button"><input type="radio" name="category[]" value="研修・見学・講演依頼"{category:checked#研修・見学・講演依頼}> <span>研修・見学・講演依頼</span></label>
<label class="radio-button"><input type="radio" name="category[]" value="TOC奈良について"{category:checked#TOC奈良について}> <span>TOC奈良について</span></label>
<!-- <label class="radio-button"><input type="radio" name="category[]" value="TOC大阪北区について"{category:checked#TOC大阪北区について}> <span>TOC大阪北区について</span></label> -->
<label class="radio-button"><input type="radio" name="category[]" value="その他"{category:checked#その他}> <span>その他</span></label>
<input type="hidden" name="field[]" value="category">
<input type="hidden" name="category:v#required">
<!-- BEGIN category:validator -->
<span class="error">お問い合わせ種別を選択してください。</span>
<!-- END category:validator -->
</div>
</div>

<div class="form-row">
<label class="form-col" for="division">所属団体 <span class="required">(必須)</span></label>
<div class="form-col">
<input id="division" type="text" name="division" value="{division}" placeholder="例)歯と口の機能支援センターみのお" class="text-field <!-- BEGIN name:validator -->-error<!-- END name:validator -->" required />
<input type="hidden" name="field[]" value="division" />
<input type="hidden" name="division:v#required" />
<input type="hidden" name="division:c" value="KV" />
<!-- BEGIN division:validator -->
<span class="error">所属団体を入力してください。</span>
<!-- END division:validator -->
</div>
</div>

<div class="form-row">
<label class="form-col" for="name">お名前 <span class="required">(必須)</span></label>
<div class="form-col">
<input id="name" type="text" name="name" value="{name}" placeholder="例)箕面 太郎" class="text-field <!-- BEGIN name:validator -->-error<!-- END name:validator -->" required />
<input type="hidden" name="field[]" value="name" />
<input type="hidden" name="name:v#required" />
<input type="hidden" name="name:c" value="KV" />
<!-- BEGIN name:validator -->
<span class="error">お名前を入力してください。</span>
<!-- END name:validator -->
</div>
</div>

<div class="form-row">
<label class="form-col" for="email">メールアドレス <span class="required">(必須)</span></label>
<div class="form-col">
<input id="email" name="email" type="email" value="{email}" placeholder="例)d&#101;n&#116;&#97;&#108;&#64;&#109;de&#102;.jp" class="text-field <!-- BEGIN email:validator -->-error<!-- END email:validator -->" required />
<input type="hidden" name="field[]" value="email" />
<input type="hidden" name="email:v#required" />
<input type="hidden" name="email:c" value="a" />
<input type="hidden" name="email:v#email" />
<!-- BEGIN email:validator -->
<span class="error">正しいメールアドレスを入力してください。</span>
<!-- END email:validator -->
</div>
</div>

<div class="form-row">
<label class="form-col" for="telephone">電話番号 <span class="required">(必須)</span></label>
<div class="form-col">
<input id="telephone" name="telephone" type="tel" value="{telephone}" placeholder="例)072-721-2562" class="text-field <!-- BEGIN telephone:validator -->-error<!-- END telephone:validator -->" required />
<input type="hidden" name="field[]" value="telephone" />
<input type="hidden" name="telephone:v#required" />
<input type="hidden" name="telephone:c" value="a" />
<!-- BEGIN telephone:validator -->
<span class="error">電話番号を入力してください。</span>
<!-- END telephone:validator -->
</div>
</div>

<div class="form-row">
<label class="form-col" for="address2">住所 <span class="required">(必須)</span></label>
<div class="form-col">
<div class="form-inline">
<div class="form-col">〒</div>
<div class="form-col">
<input id="address1" type="text" name="address1" value="{address1}" placeholder="例)5620042" class="text-field p-postal-code <!-- BEGIN name:validator -->-error<!-- END name:validator -->" required maxlength="8" />
<input type="hidden" name="field[]" value="address1" />
<input type="hidden" name="address1:v#required" />
<input type="hidden" name="address1:c" value="KV" />
</div>
<div class="form-col only-pc"><small>※ハイフンを除く半角数字のみで入力してください</small></div>
</div>
<div class="form-inline">
<input id="address2" type="text" name="address2" value="{address2}" placeholder="例)⼤阪府箕⾯市百楽荘1-3-21" class="text-field p-region p-locality p-street-address p-extended-address <!-- BEGIN name:validator -->-error<!-- END name:validator -->" required />
<input type="hidden" name="field[]" value="address2" />
<input type="hidden" name="address2:v#required" />
<input type="hidden" name="address2:c" value="KV" />
</div>
<!-- BEGIN address2:validator -->
<span class="error">住所を入力してください。</span>
<!-- END address2:validator -->
</div>
</div>

<div class="form-row">
<label for="" class="form-col">お問い合わせ内容 <span class="required">(必須)</span></label>
<div class="form-col">
<textarea id="inquiry" name="inquiry" cols="60" rows="5" class="text-field <!-- BEGIN inquiry:validator -->-error<!-- END inquiry:validator -->" required placeholder="※研修、見学、講演のご依頼の場合は、目的、ご希望内容、ご希望の時間帯もご記入ください">{inquiry}</textarea>
<input type="hidden" name="field[]" value="inquiry" />
<input type="hidden" name="inquiry:v#required" />
<input type="hidden" name="inquiry:c" value="KV" />
<!-- BEGIN inquiry:validator -->
<span class="error">お問い合わせ内容を入力してください。</span>
<!-- END inquiry:validator -->
</div>
</div>

<p class="_txtc">ご入力いただいたお名前、メールアドレス、電話番号などの個人情報は、お問い合わせやご請求に対する回答の目的でのみ利用させていただきます。<br />
<label class="check-agree">
<input type="checkbox" name="agreement" value="同意する" {agreement:checked#同意する} required> 同意する
<input type="hidden" name="field[]" value="agreement" />
<input type="hidden" name="agreement:v#required" />
<input type="hidden" name="agreement_check" type="text" value="同意する" />
<input type="hidden" name="field[]" value="agreement_check" />
<input type="hidden" name="agreement_check:v#equalTo" value="agreement" />
<!-- BEGIN agreement_check:validator -->
<span class="error">個人情報の取り扱いについて同意してください。</span>
<!-- END agreement_check:validator -->
</label>
</p>

<!-- End of include : source=themes/toc/contact/form/input.html -->

</div>
<input type="hidden" name="step" value="confirm" />
<input type="hidden" name="error" value="reapply" />
<input type="hidden" name="id" value="contact" />
<input type="hidden" class="p-country-name" value="Japan">
<p class="button _txtc"><button type="submit" name="ACMS_POST_Form_Confirm" class="form-button">入力内容を確認</button></p>
</form>
<!-- END step#reapply -->

<!-- BEGIN step#confirm -->
<p class="_txtc"><strong>こちらの内容で送信します。よろしければ、「送信する」ボタンをクリックしてください。</strong></p>
<div class="form-content">
<!-- Start of include : source=themes/toc/contact/form/confirm.html -->
<table class="form-table">
<tr>
<th>お問い合わせ種別</th>
<td>{category}</td>
</tr>
<tr>
<th>所属団体</th>
<td>{division}</td>
</tr>
<tr>
<th>お名前</th>
<td>{name}</td>
</tr>
<tr>
<th>メールアドレス</th>
<td>{email}</td>
</tr>
<tr>
<th>電話番号</th>
<td>{telephone}</td>
</tr>
<tr>
<th>住所</th>
<td>〒{address1} {address2}</td>
</tr>
<tr>
<th>お問い合わせ内容</th>
<td>{inquiry}[escape|nl2br]</td>
</tr>
</table>

<!-- End of include : source=themes/toc/contact/form/confirm.html -->

</div>
<ul class="form-action">
<li>
<form action="?mode=input" method="post">
<input type="hidden" name="step" value="reapply" />
<input type="hidden" name="takeover" value="{takeover}" />
<p class="button"><button type="submit" name="ACMS_POST_Form_Chain" class="form-button -back">入力画面に戻る</button></p>
</form>
</li>
<li>
<form action="?mode=complete" method="post">
<input type="hidden" name="To[]" value="{email}" />
<input type="hidden" name="AdminReply-To[]" value="{email}" />
<input type="hidden" name="AdminFrom[]" value="{email}" />
<input type="hidden" name="step" value="result" />
<input type="hidden" name="takeover" value="{takeover}" />
<input type="hidden" name="id" value="contact" />
<p class="button"><button type="submit" name="ACMS_POST_Form_Submit" class="form-button">送信する</button></p>
</form>
</li>
</ul>
<!-- END step#confirm -->

<!-- BEGIN step#result -->

<h2 class="h5 _txtc">お問い合わせいただき、ありがとうございました。</h2>
<p class="_txtc _double">登録いただいたメールアドレスに<br>「<strong>【TOCみのお】お問い合わせありがとうございました</strong>」というメールを送信しております。<br>万一、メールが届かない場合は大変お手数ではございますが、電話にてお問い合わせください。<br>いただいたお問い合わせに関しては、担当スタッフから改めて連絡いたしますので今しばらくお待ちください。<br>今後ともご愛顧賜りますようよろしくお願い申し上げます。</p>
<p class="_txtc"><a href="https://toc-minoh.jp/" class="form-button">トップページ</a></p>
<!-- END step#result -->

<!-- END_MODULE Form -->

</div>
</main>




</div>


<!-- Start of include : source=themes/toc/include/footer.html -->
<footer class="site-footer">
<p class="pagetop"><a href="#top"><span>Pagetop</span></a></p>
<div class="sitemap">
<dl class="column about">
<dt class="title">About us</dt>
<dd class="content"><a href="/about/">ごあいさつ</a></dd>
<dd class="content"><a href="/about/">理念</a></dd>
<!-- <dd class="content"><a href="/staff/">スタッフ紹介</a></dd> -->
</dl>
<dl class="column activity">
<dt class="title">Activity</dt>
<dd class="content"><a href="/seminar/">講演会のお知らせ</a></dd>
<dd class="content"><a href="/report/">活動報告</a></dd>
</dl>
<dl class="column access">
<dt class="title">Access</dt>
<dd class="content">〒562-0042<br>⼤阪府箕⾯市百楽荘1-3-21<br>阪急牧落駅東出口より徒歩1分</dd>
<dd class="content">寺嶋歯科医院内</dd>
<dd class="content tel">TEL <a href="tel:072-743-8571">072-743-8571</a></dd>
</dl>
<dl class="column hours">
<dt class="title">Office Hours</dt>
<dd class="content"><span class="ja">午前</span><span class="en">09:30-13:00</span></dd>
<dd class="content"><span class="ja">午後</span><span class="en">14:30-19:00</span></dd>
<dd class="content">土曜日午後はスペシャルニーズ外来</dd>
</dl>
</div>
<p class="copyright">
<span class="en">Copyright &copy; 2019</span>
<span class="ja">箕⾯市の⻭科医院</span>
<span class="en">TERASHIMA Dental Clinic All Rights Reserved. </span>
</p>
</footer>

<!-- End of include : source=themes/toc/include/footer.html -->






<script src="https://yubinbango.github.io/yubinbango/yubinbango.js" charset="UTF-8"></script>
<script>
$(document).ready(function(){
function url_query_param() {
var param = new Array();
var search = location.search.replace('?', '').split('&');
search.forEach(function (val) {
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param[sep_val[0]] = sep_val[1];
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if( params['category'] ){
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</body>
</html>
', Field_Validation)
#10 /home/users/2/main.jp-mdef/web/toc-minoh/php/main.php(1844): build('<!DOCTYPE html>
<html lang="ja">
<head>

<!-- Start of include : source=themes/toc/include/head/ga.html -->
<!-- BEGIN_MODULE Touch_Unlogin -->

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<!-- Start of include : source=themes/toc/include/head/meta.html -->
<meta charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<meta http-equiv="X-UA-Compatible" content="ie=edge">
<!-- BEGIN_MODULE Ogp -->

<title>お問い合わせ | TOCみのお - 箕面市・梅田・奈良 地域密着型の歯と口の機能支援センター</title>

<link rel="canonical" href="https://toc-minoh.jp/">
<!-- END_MODULE Ogp -->

<!-- End of include : source=themes/toc/include/head/meta.html -->




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<!-- <link rel="icon" type="image/x-icon" href="/themes/toc/favicon.ico"> -->
<link rel="apple-touch-icon" href="/apple-touch-icon-180x180.png">
<link href="https://fonts.googleapis.com/css?family=Roboto+Condensed:400,700&display=swap" rel="stylesheet">
<link rel="stylesheet" href="/themes/system/css/normalize.css?date=20191212113714">
<link rel="stylesheet" href="/themes/system/css/acms-admin.min.css?date=20191212113714">
<link rel="stylesheet" href="/themes/system/css/acms.min.css?date=20191212113714">
<link rel="stylesheet" href="/themes/toc/css/toc.css?date=20200506185241">


<meta name="msapplication-square70x70logo" content="/favicons/site-tile-70x70.png">
<meta name="msapplication-square150x150logo" content="/favicons/site-tile-150x150.png">
<meta name="msapplication-wide310x150logo" content="/favicons/site-tile-310x150.png">
<meta name="msapplication-square310x310logo" content="/favicons/site-tile-310x310.png">
<meta name="msapplication-TileColor" content="#0078d7">
<link rel="shortcut icon" type="image/vnd.microsoft.icon" href="/themes/toc/favicons/favicon.ico">
<link rel="icon" type="image/vnd.microsoft.icon" href="/themes/toc/favicons/favicon.ico">
<link rel="apple-touch-icon" sizes="57x57" href="/themes/toc/favicons/apple-touch-icon-57x57.png">
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<link rel="icon" type="image/png" sizes="36x36" href="/themes/toc/favicons/android-chrome-36x36.png">
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<script type="text/javascript" src="/acms.js{arguments}"charset="UTF-8"id="acms-js"></script>
<!-- END_MODULE Js -->
<script src="/js/library/jquery/jquery-3.4.1.min.js"></script>
<script src="/themes/toc/js/jquery.matchHeight-min.js?date=20191224055147"></script>
<script src="/themes/toc/js/toc.js?date=20200506185015"></script>
<!-- BEGIN_MODULE Touch_Login -->
<script src="/themes/toc/js/ablogcms.js?date=20200504122256"></script>
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</head>
<body id="contact" class=" index" data-script-root="/">

<!-- BEGIN_MODULE Touch_NotPreview -->
<!-- BEGIN_MODULE Admin_ActionMenu -->

<div id="adminMinBox" class="clearfix js-dragAdminBox_disable minBox">
<span class="dragBoxHandle"><i class="acms-admin-icon-sort"></i></span>
<span class="dragBoxToggle"><i class="acms-admin-icon-arrow-down"></i></span>
</div>


<div id="adminBox" class="clearfix js-dragAdminBox_disable acms-admin-box normalBox">


<div id="loginUserStatus">
<img src="/archives/{icon}" width="20" height="20" alt="" class="acms-admin-user acms-admin-margin-right-mini" />{name}
<a href="/bid//uid//admin/user_edit/" class="acms-admin-label"><!--T-->プロフィール<!--/T--></a><!-- BEGIN approval -->
<div class="acms-admin-label-approval-group"><a href="{url}"><!--T-->承認通知<!--/T--></a>&nbsp;<span class="acms-admin-badge acms-admin-badge-approval">{badge}</span></div><!-- END approval --><!-- BEGIN_MODULE Touch_Debug -->
&nbsp;<a href="/bid//admin/checklist/" class="acms-admin-label acms-admin-label-danger"><!--T-->デバッグモード<!--/T--></a>
&nbsp;<!--T-->現在表示中のテンプレート<!--/T-->:/themes/toc/contact/index.html<!-- BEGIN_IF [/nem] -->&nbsp;
&nbsp;<!--T-->現在のコンフィグセット<!--/T-->:(CONFIG_SET_ID:)<!-- END_IF --><!-- BEGIN_IF [/nem] -->&nbsp;
&nbsp;<!--T-->現在のルール<!--/T-->:(RID:)<!-- END_IF --><!-- BEGIN_IF [off/eq/on] -->
/ <a href="https://mypage.a-blogcms.jp" target="_blank"><strong><!--T-->ライセンス未購入<!--/T--></strong></a><!-- END_IF -->
<!-- END_MODULE Touch_Debug --><!-- BEGIN status#usersover -->
/ <strong><!--T-->登録されているユーザー数が上限を超えているため、ラインセンスが無効になっています。<!--/T--></strong><!-- END status#usersover --><!-- BEGIN status#illegal -->
/ <strong><!--T-->データベースのタイムスタンプが不正であるため、ライセンスが無効になっています。<!--/T--></strong> : {expire}<!-- END status#illegal -->

<span class="dragBoxHandle" style="display:none;"><i class="acms-admin-icon-sort"></i></span>
<span class="dragBoxToggle" style="display:none;"><i class="acms-admin-icon-arrow-up"></i></span>
</div>





<!-- BEGIN_MODULE Touch_Entry -->
<!-- BEGIN_MODULE Touch_SessionWithContribution -->


<!-- BEGIN_MODULE Touch_NotEditInplace -->
<!-- BEGIN_MODULE Touch_NotApprovalORsessionWithApprovalAdministrator -->
<form action="" method="post" class="acms-admin-inline-btn">
<input type="hidden" name="acms_config_entry_edit_inplace_enable" value="on" />
<input type="hidden" name="cookie[]" value="acms_config_entry_edit_inplace_enable" />
<input type="submit" name="ACMS_POST_Cookie" value="<!--T-->ダイレクト編集ONにする<!--/T-->" class="acms-admin-btn" />
</form>
<!-- END_MODULE Touch_NotApprovalORsessionWithApprovalAdministrator -->
<!-- END_MODULE Touch_NotEditInplace -->



<!-- BEGIN_MODULE Touch_EditInplace -->
<form action="" method="post" class="acms-admin-inline-btn">
<input type="hidden" name="acms_config_entry_edit_inplace_enable" value="off" />
<input type="hidden" name="cookie[]" value="acms_config_entry_edit_inplace_enable" />
<input type="submit" name="ACMS_POST_Cookie" value="<!--T-->ダイレクト編集OFFにする<!--/T-->" class="acms-admin-btn" />
</form>
<!-- END_MODULE Touch_EditInplace -->


<!-- END_MODULE Touch_SessionWithContribution -->
<!-- END_MODULE Touch_Entry -->



<!-- BEGIN insert -->
<form action="" method="post" class="acms-admin-inline-btn">
<input type="submit" name="ACMS_POST_2GET" value="<!--T-->エントリー作成<!--/T-->" class="acms-admin-btn acms-admin-btn-success"/>
<input type="hidden" name="admin" value="entry-edit" />
<input type="hidden" name="bid" value="1" />
<input type="hidden" name="cid" value="" />
</form>
<!-- END insert -->



<!-- BEGIN_MODULE Touch_NotAdmin -->
<form action="" method="post" class="acms-admin-inline-btn">
<input type="submit" name="ACMS_POST_2GET" value="<!--T-->管理ページ<!--/T-->" class="acms-admin-btn" />
<input type="hidden" name="admin" value="top" />
<input type="hidden" name="bid" value="1" />
</form>
<!-- END_MODULE Touch_NotAdmin -->
<!-- BEGIN_MODULE Touch_Edit -->
<form action="" method="post" class="acms-admin-inline-btn">
<input type="submit" name="ACMS_POST_2GET" value="<!--T-->管理ページ<!--/T-->" class="acms-admin-btn" />
<input type="hidden" name="admin" value="top" />
<input type="hidden" name="bid" value="1" />
</form><!-- END_MODULE Touch_Edit -->


<!-- BEGIN_MODULE Touch_NotAdmin -->

<!-- BEGIN_MODULE Touch_HigherLicense -->
<!-- BEGIN_MODULE Touch_SessionWithCompilation -->
<!-- BEGIN_MODULE Touch_NotTimemachineMode -->
<div class="acms-admin-inline-btn">
<button class="js-acms-timemachine acms-admin-btn"><!--T-->タイムマシーンモード<!--/T--></button>
</div>
<!-- END_MODULE Touch_NotTimemachineMode -->
<!-- END_MODULE Touch_SessionWithCompilation -->
<!-- END_MODULE Touch_HigherLicense -->



<!-- BEGIN_MODULE Touch_SessionWithContribution -->
<div class="acms-admin-inline-btn">
<button class="js-acms-preview-button acms-admin-btn" data-url="https://toc-minoh.jp/contact/" data-default-device="iPhone 6/7/8"><!--T-->プレビュー<!--/T--></button>
</div>
<!-- END_MODULE Touch_SessionWithContribution -->

<!-- END_MODULE Touch_NotAdmin -->


<form action="" method="post" class="acms-admin-inline-btn">
<input type="submit" name="ACMS_POST_Logout" value="<!--T-->ログアウト<!--/T-->" class="acms-admin-btn" />
</form>



<!-- BEGIN_MODULE Touch_Entry --><!-- BEGIN_MODULE Touch_SessionWithAdministration --><!-- BEGIN_MODULE Touch_MailMagazineEnable -->
<hr class="clearHidden" style="margin:0;" />
<form action="" method="post" class="acms-admin-inline-btn selectLink acms-admin-form">
<input type="hidden" name="bid" value="1" />
<input type="hidden" name="eid" value="" />
<input type="submit" name="ACMS_POST_Entry_Mail" value="<!--T-->このエントリーをメールで送信<!--/T-->" class="acms-admin-btn" />
<!-- BEGIN_MODULE Admin_Blog_SelectGlobal -->
<select name="user_blog_id" class="js-select2"><!-- BEGIN loop -->
<option value="{value}"{selected}>{indent}[raw]{label}</option><!-- END loop -->
</select><!-- END_MODULE Admin_Blog_SelectGlobal -->
<div class="acms-admin-form-checkbox">
<input type="checkbox" name="issue" value="true" id="entry-mail-broadcast" />
<label for="entry-mail-broadcast"><i class="acms-admin-ico-checkbox"></i><!--T-->一斉送信<!--/T--></label>
</div>
</form><!-- END_MODULE Touch_MailMagazineEnable --><!-- END_MODULE Touch_SessionWithAdministration --><!-- END_MODULE Touch_Entry -->




<hr class="clearHidden" style="margin:0;" />




<!-- BEGIN_MODULE Admin_InjectTemplate id="admin-action" --><!-- END_MODULE Admin_InjectTemplate -->

</div>
<!-- END_MODULE Admin_ActionMenu -->
<!-- END_MODULE Touch_NotPreview -->


<div class="container">

<!-- Start of include : source=themes/toc/include/header.html -->
<header class="site-header">
<h1 class="logo">
<a href="/">
<span class="text">箕面市・梅田・奈良<br>地域密着型の歯と口の<br>機能支援センター</span>
<span class="image"><img src="/themes/toc/images/logo.svg" alt=""></span>
</a>
</h1>
<ul class="global-nav">
<li class="item"><a href="/about/">TOCみのおについて<span class="en">About us</span></a></li>
<li class="item"><a href="/seminar/">講演会のお知らせ<span class="en">Report</span></a></li>
<li class="item"><a href="/report/">活動報告<span class="en">Seminar</span></a></li>
<li class="item"><a href="/class/">CLASSについて<span class="en">Children’s Local Across-the-board Support Seminar</span></a></li>
<!-- <li class="item"><a href="/staff/">STAFFのご紹介<span class="en">Staff</span></a></li> -->
<!-- <li class="item"><a href="/faq/">よくある質問<span class="en">FAQ</span></a></li> -->
<li class="contact"><a href="/contact/" class="button-a -gray"><i class="icon -contact"></i>お問い合わせ</a></li>
<li class="tel"><a href="tel:072-743-8571">TEL:072-743-8571</a></li>
<li class="access"><a href="https://g.page/TerashimaDentalClinic?share" target="_blank"><i class="icon -pin"></i>TOCみのお(寺嶋⻭科)まで、<br />牧落駅東出⼝より15m</a></li>
</ul>
<dl class="contact-list">
<dt>TOC奈良へのお問い合わせ</dt>
<dd><a href="/contact/?category=4" class="button-a"><i class="icon -contact"></i>TOC奈良</a></dd>
<!--
<dt>TOC大阪北区へのお問い合わせ</dt>
<dd><a href="/contact/?category=5" class="button-a"><i class="icon -contact"></i>TOC梅田</a></dd>
-->
</dl>
<ul class="button-list">
<li><a href="/contact/?category=3" class="button-a -primary">講演会のご依頼</a></li>
<!-- <li><a href="/recruit/" class="button-a -secondary">採用情報</a></li> -->
<li class="banner"><a href="https://www.mdef.jp/" target="_blank"><img src="/themes/toc/images/banner_terashima.png" alt="歯と口の機能支援センターみのお 寺嶋歯科医院"></a></li>
</ul>
<a href="" class="sp-nav-button"><span></span><span></span><span></span></a>
</header>

<!-- End of include : source=themes/toc/include/header.html -->




<main class="site-content">
<div class="inner">
<h1 class="page-title">
<span class="ja">お問い合わせ</span>
<span class="en">Contact</span>
</h1>

<!-- BEGIN_MODULE Form -->

<!-- BEGIN step -->
<p class="_txtc"><strong>通常のお問い合わせ、研修・見学・講演依頼については、以下のフォームよりお願いします。</strong></p>
<form action="?mode=confirm" method="post" class="h-adr">
<div class="form-content">
<!-- Start of include : source=themes/toc/contact/form/input.html -->

<div class="form-row">
<label class="form-col" for="category">お問い合わせ種別 <span class="required">(必須)</span></label>
<div class="form-col">
<label class="radio-button"><input type="radio" name="category[]" value="通常のお問い合わせ"{category:checked#通常のお問い合わせ}> <span>通常のお問い合わせ</span></label>
<label class="radio-button"><input type="radio" name="category[]" value="在宅診療の依頼"{category:checked#在宅診療の依頼}> <span>在宅診療の依頼</span></label>
<label class="radio-button"><input type="radio" name="category[]" value="研修・見学・講演依頼"{category:checked#研修・見学・講演依頼}> <span>研修・見学・講演依頼</span></label>
<label class="radio-button"><input type="radio" name="category[]" value="TOC奈良について"{category:checked#TOC奈良について}> <span>TOC奈良について</span></label>
<!-- <label class="radio-button"><input type="radio" name="category[]" value="TOC大阪北区について"{category:checked#TOC大阪北区について}> <span>TOC大阪北区について</span></label> -->
<label class="radio-button"><input type="radio" name="category[]" value="その他"{category:checked#その他}> <span>その他</span></label>
<input type="hidden" name="field[]" value="category">
<input type="hidden" name="category:v#required">
<!-- BEGIN category:validator -->
<span class="error">お問い合わせ種別を選択してください。</span>
<!-- END category:validator -->
</div>
</div>

<div class="form-row">
<label class="form-col" for="division">所属団体 <span class="required">(必須)</span></label>
<div class="form-col">
<input id="division" type="text" name="division" value="{division}" placeholder="例)歯と口の機能支援センターみのお" class="text-field <!-- BEGIN name:validator -->-error<!-- END name:validator -->" required />
<input type="hidden" name="field[]" value="division" />
<input type="hidden" name="division:v#required" />
<input type="hidden" name="division:c" value="KV" />
<!-- BEGIN division:validator -->
<span class="error">所属団体を入力してください。</span>
<!-- END division:validator -->
</div>
</div>

<div class="form-row">
<label class="form-col" for="name">お名前 <span class="required">(必須)</span></label>
<div class="form-col">
<input id="name" type="text" name="name" value="{name}" placeholder="例)箕面 太郎" class="text-field <!-- BEGIN name:validator -->-error<!-- END name:validator -->" required />
<input type="hidden" name="field[]" value="name" />
<input type="hidden" name="name:v#required" />
<input type="hidden" name="name:c" value="KV" />
<!-- BEGIN name:validator -->
<span class="error">お名前を入力してください。</span>
<!-- END name:validator -->
</div>
</div>

<div class="form-row">
<label class="form-col" for="email">メールアドレス <span class="required">(必須)</span></label>
<div class="form-col">
<input id="email" name="email" type="email" value="{email}" placeholder="例)d&#101;n&#116;&#97;&#108;&#64;&#109;de&#102;.jp" class="text-field <!-- BEGIN email:validator -->-error<!-- END email:validator -->" required />
<input type="hidden" name="field[]" value="email" />
<input type="hidden" name="email:v#required" />
<input type="hidden" name="email:c" value="a" />
<input type="hidden" name="email:v#email" />
<!-- BEGIN email:validator -->
<span class="error">正しいメールアドレスを入力してください。</span>
<!-- END email:validator -->
</div>
</div>

<div class="form-row">
<label class="form-col" for="telephone">電話番号 <span class="required">(必須)</span></label>
<div class="form-col">
<input id="telephone" name="telephone" type="tel" value="{telephone}" placeholder="例)072-721-2562" class="text-field <!-- BEGIN telephone:validator -->-error<!-- END telephone:validator -->" required />
<input type="hidden" name="field[]" value="telephone" />
<input type="hidden" name="telephone:v#required" />
<input type="hidden" name="telephone:c" value="a" />
<!-- BEGIN telephone:validator -->
<span class="error">電話番号を入力してください。</span>
<!-- END telephone:validator -->
</div>
</div>

<div class="form-row">
<label class="form-col" for="address2">住所 <span class="required">(必須)</span></label>
<div class="form-col">
<div class="form-inline">
<div class="form-col">〒</div>
<div class="form-col">
<input id="address1" type="text" name="address1" value="{address1}" placeholder="例)5620042" class="text-field p-postal-code <!-- BEGIN name:validator -->-error<!-- END name:validator -->" required maxlength="8" />
<input type="hidden" name="field[]" value="address1" />
<input type="hidden" name="address1:v#required" />
<input type="hidden" name="address1:c" value="KV" />
</div>
<div class="form-col only-pc"><small>※ハイフンを除く半角数字のみで入力してください</small></div>
</div>
<div class="form-inline">
<input id="address2" type="text" name="address2" value="{address2}" placeholder="例)⼤阪府箕⾯市百楽荘1-3-21" class="text-field p-region p-locality p-street-address p-extended-address <!-- BEGIN name:validator -->-error<!-- END name:validator -->" required />
<input type="hidden" name="field[]" value="address2" />
<input type="hidden" name="address2:v#required" />
<input type="hidden" name="address2:c" value="KV" />
</div>
<!-- BEGIN address2:validator -->
<span class="error">住所を入力してください。</span>
<!-- END address2:validator -->
</div>
</div>

<div class="form-row">
<label for="" class="form-col">お問い合わせ内容 <span class="required">(必須)</span></label>
<div class="form-col">
<textarea id="inquiry" name="inquiry" cols="60" rows="5" class="text-field <!-- BEGIN inquiry:validator -->-error<!-- END inquiry:validator -->" required placeholder="※研修、見学、講演のご依頼の場合は、目的、ご希望内容、ご希望の時間帯もご記入ください">{inquiry}</textarea>
<input type="hidden" name="field[]" value="inquiry" />
<input type="hidden" name="inquiry:v#required" />
<input type="hidden" name="inquiry:c" value="KV" />
<!-- BEGIN inquiry:validator -->
<span class="error">お問い合わせ内容を入力してください。</span>
<!-- END inquiry:validator -->
</div>
</div>

<p class="_txtc">ご入力いただいたお名前、メールアドレス、電話番号などの個人情報は、お問い合わせやご請求に対する回答の目的でのみ利用させていただきます。<br />
<label class="check-agree">
<input type="checkbox" name="agreement" value="同意する" {agreement:checked#同意する} required> 同意する
<input type="hidden" name="field[]" value="agreement" />
<input type="hidden" name="agreement:v#required" />
<input type="hidden" name="agreement_check" type="text" value="同意する" />
<input type="hidden" name="field[]" value="agreement_check" />
<input type="hidden" name="agreement_check:v#equalTo" value="agreement" />
<!-- BEGIN agreement_check:validator -->
<span class="error">個人情報の取り扱いについて同意してください。</span>
<!-- END agreement_check:validator -->
</label>
</p>

<!-- End of include : source=themes/toc/contact/form/input.html -->

</div>
<input type="hidden" name="step" value="confirm" />
<input type="hidden" name="error" value="reapply" />
<input type="hidden" name="id" value="contact" />
<input type="hidden" class="p-country-name" value="Japan">
<p class="button _txtc"><button type="submit" name="ACMS_POST_Form_Confirm" class="form-button">入力内容を確認</button></p>
</form>
<!-- END step -->

<!-- BEGIN step#reapply -->
<p class="_txtc"><strong>通常のお問い合わせ、研修・見学・講演依頼については、以下のフォームよりお願いします。</strong></p>
<form action="?mode=confirm" method="post" class="h-adr">
<div class="form-content">
<!-- Start of include : source=themes/toc/contact/form/input.html -->

<div class="form-row">
<label class="form-col" for="category">お問い合わせ種別 <span class="required">(必須)</span></label>
<div class="form-col">
<label class="radio-button"><input type="radio" name="category[]" value="通常のお問い合わせ"{category:checked#通常のお問い合わせ}> <span>通常のお問い合わせ</span></label>
<label class="radio-button"><input type="radio" name="category[]" value="在宅診療の依頼"{category:checked#在宅診療の依頼}> <span>在宅診療の依頼</span></label>
<label class="radio-button"><input type="radio" name="category[]" value="研修・見学・講演依頼"{category:checked#研修・見学・講演依頼}> <span>研修・見学・講演依頼</span></label>
<label class="radio-button"><input type="radio" name="category[]" value="TOC奈良について"{category:checked#TOC奈良について}> <span>TOC奈良について</span></label>
<!-- <label class="radio-button"><input type="radio" name="category[]" value="TOC大阪北区について"{category:checked#TOC大阪北区について}> <span>TOC大阪北区について</span></label> -->
<label class="radio-button"><input type="radio" name="category[]" value="その他"{category:checked#その他}> <span>その他</span></label>
<input type="hidden" name="field[]" value="category">
<input type="hidden" name="category:v#required">
<!-- BEGIN category:validator -->
<span class="error">お問い合わせ種別を選択してください。</span>
<!-- END category:validator -->
</div>
</div>

<div class="form-row">
<label class="form-col" for="division">所属団体 <span class="required">(必須)</span></label>
<div class="form-col">
<input id="division" type="text" name="division" value="{division}" placeholder="例)歯と口の機能支援センターみのお" class="text-field <!-- BEGIN name:validator -->-error<!-- END name:validator -->" required />
<input type="hidden" name="field[]" value="division" />
<input type="hidden" name="division:v#required" />
<input type="hidden" name="division:c" value="KV" />
<!-- BEGIN division:validator -->
<span class="error">所属団体を入力してください。</span>
<!-- END division:validator -->
</div>
</div>

<div class="form-row">
<label class="form-col" for="name">お名前 <span class="required">(必須)</span></label>
<div class="form-col">
<input id="name" type="text" name="name" value="{name}" placeholder="例)箕面 太郎" class="text-field <!-- BEGIN name:validator -->-error<!-- END name:validator -->" required />
<input type="hidden" name="field[]" value="name" />
<input type="hidden" name="name:v#required" />
<input type="hidden" name="name:c" value="KV" />
<!-- BEGIN name:validator -->
<span class="error">お名前を入力してください。</span>
<!-- END name:validator -->
</div>
</div>

<div class="form-row">
<label class="form-col" for="email">メールアドレス <span class="required">(必須)</span></label>
<div class="form-col">
<input id="email" name="email" type="email" value="{email}" placeholder="例)d&#101;n&#116;&#97;&#108;&#64;&#109;de&#102;.jp" class="text-field <!-- BEGIN email:validator -->-error<!-- END email:validator -->" required />
<input type="hidden" name="field[]" value="email" />
<input type="hidden" name="email:v#required" />
<input type="hidden" name="email:c" value="a" />
<input type="hidden" name="email:v#email" />
<!-- BEGIN email:validator -->
<span class="error">正しいメールアドレスを入力してください。</span>
<!-- END email:validator -->
</div>
</div>

<div class="form-row">
<label class="form-col" for="telephone">電話番号 <span class="required">(必須)</span></label>
<div class="form-col">
<input id="telephone" name="telephone" type="tel" value="{telephone}" placeholder="例)072-721-2562" class="text-field <!-- BEGIN telephone:validator -->-error<!-- END telephone:validator -->" required />
<input type="hidden" name="field[]" value="telephone" />
<input type="hidden" name="telephone:v#required" />
<input type="hidden" name="telephone:c" value="a" />
<!-- BEGIN telephone:validator -->
<span class="error">電話番号を入力してください。</span>
<!-- END telephone:validator -->
</div>
</div>

<div class="form-row">
<label class="form-col" for="address2">住所 <span class="required">(必須)</span></label>
<div class="form-col">
<div class="form-inline">
<div class="form-col">〒</div>
<div class="form-col">
<input id="address1" type="text" name="address1" value="{address1}" placeholder="例)5620042" class="text-field p-postal-code <!-- BEGIN name:validator -->-error<!-- END name:validator -->" required maxlength="8" />
<input type="hidden" name="field[]" value="address1" />
<input type="hidden" name="address1:v#required" />
<input type="hidden" name="address1:c" value="KV" />
</div>
<div class="form-col only-pc"><small>※ハイフンを除く半角数字のみで入力してください</small></div>
</div>
<div class="form-inline">
<input id="address2" type="text" name="address2" value="{address2}" placeholder="例)⼤阪府箕⾯市百楽荘1-3-21" class="text-field p-region p-locality p-street-address p-extended-address <!-- BEGIN name:validator -->-error<!-- END name:validator -->" required />
<input type="hidden" name="field[]" value="address2" />
<input type="hidden" name="address2:v#required" />
<input type="hidden" name="address2:c" value="KV" />
</div>
<!-- BEGIN address2:validator -->
<span class="error">住所を入力してください。</span>
<!-- END address2:validator -->
</div>
</div>

<div class="form-row">
<label for="" class="form-col">お問い合わせ内容 <span class="required">(必須)</span></label>
<div class="form-col">
<textarea id="inquiry" name="inquiry" cols="60" rows="5" class="text-field <!-- BEGIN inquiry:validator -->-error<!-- END inquiry:validator -->" required placeholder="※研修、見学、講演のご依頼の場合は、目的、ご希望内容、ご希望の時間帯もご記入ください">{inquiry}</textarea>
<input type="hidden" name="field[]" value="inquiry" />
<input type="hidden" name="inquiry:v#required" />
<input type="hidden" name="inquiry:c" value="KV" />
<!-- BEGIN inquiry:validator -->
<span class="error">お問い合わせ内容を入力してください。</span>
<!-- END inquiry:validator -->
</div>
</div>

<p class="_txtc">ご入力いただいたお名前、メールアドレス、電話番号などの個人情報は、お問い合わせやご請求に対する回答の目的でのみ利用させていただきます。<br />
<label class="check-agree">
<input type="checkbox" name="agreement" value="同意する" {agreement:checked#同意する} required> 同意する
<input type="hidden" name="field[]" value="agreement" />
<input type="hidden" name="agreement:v#required" />
<input type="hidden" name="agreement_check" type="text" value="同意する" />
<input type="hidden" name="field[]" value="agreement_check" />
<input type="hidden" name="agreement_check:v#equalTo" value="agreement" />
<!-- BEGIN agreement_check:validator -->
<span class="error">個人情報の取り扱いについて同意してください。</span>
<!-- END agreement_check:validator -->
</label>
</p>

<!-- End of include : source=themes/toc/contact/form/input.html -->

</div>
<input type="hidden" name="step" value="confirm" />
<input type="hidden" name="error" value="reapply" />
<input type="hidden" name="id" value="contact" />
<input type="hidden" class="p-country-name" value="Japan">
<p class="button _txtc"><button type="submit" name="ACMS_POST_Form_Confirm" class="form-button">入力内容を確認</button></p>
</form>
<!-- END step#reapply -->

<!-- BEGIN step#confirm -->
<p class="_txtc"><strong>こちらの内容で送信します。よろしければ、「送信する」ボタンをクリックしてください。</strong></p>
<div class="form-content">
<!-- Start of include : source=themes/toc/contact/form/confirm.html -->
<table class="form-table">
<tr>
<th>お問い合わせ種別</th>
<td>{category}</td>
</tr>
<tr>
<th>所属団体</th>
<td>{division}</td>
</tr>
<tr>
<th>お名前</th>
<td>{name}</td>
</tr>
<tr>
<th>メールアドレス</th>
<td>{email}</td>
</tr>
<tr>
<th>電話番号</th>
<td>{telephone}</td>
</tr>
<tr>
<th>住所</th>
<td>〒{address1} {address2}</td>
</tr>
<tr>
<th>お問い合わせ内容</th>
<td>{inquiry}[escape|nl2br]</td>
</tr>
</table>

<!-- End of include : source=themes/toc/contact/form/confirm.html -->

</div>
<ul class="form-action">
<li>
<form action="?mode=input" method="post">
<input type="hidden" name="step" value="reapply" />
<input type="hidden" name="takeover" value="{takeover}" />
<p class="button"><button type="submit" name="ACMS_POST_Form_Chain" class="form-button -back">入力画面に戻る</button></p>
</form>
</li>
<li>
<form action="?mode=complete" method="post">
<input type="hidden" name="To[]" value="{email}" />
<input type="hidden" name="AdminReply-To[]" value="{email}" />
<input type="hidden" name="AdminFrom[]" value="{email}" />
<input type="hidden" name="step" value="result" />
<input type="hidden" name="takeover" value="{takeover}" />
<input type="hidden" name="id" value="contact" />
<p class="button"><button type="submit" name="ACMS_POST_Form_Submit" class="form-button">送信する</button></p>
</form>
</li>
</ul>
<!-- END step#confirm -->

<!-- BEGIN step#result -->

<h2 class="h5 _txtc">お問い合わせいただき、ありがとうございました。</h2>
<p class="_txtc _double">登録いただいたメールアドレスに<br>「<strong>【TOCみのお】お問い合わせありがとうございました</strong>」というメールを送信しております。<br>万一、メールが届かない場合は大変お手数ではございますが、電話にてお問い合わせください。<br>いただいたお問い合わせに関しては、担当スタッフから改めて連絡いたしますので今しばらくお待ちください。<br>今後ともご愛顧賜りますようよろしくお願い申し上げます。</p>
<p class="_txtc"><a href="https://toc-minoh.jp/" class="form-button">トップページ</a></p>
<!-- END step#result -->

<!-- END_MODULE Form -->

</div>
</main>




</div>


<!-- Start of include : source=themes/toc/include/footer.html -->
<footer class="site-footer">
<p class="pagetop"><a href="#top"><span>Pagetop</span></a></p>
<div class="sitemap">
<dl class="column about">
<dt class="title">About us</dt>
<dd class="content"><a href="/about/">ごあいさつ</a></dd>
<dd class="content"><a href="/about/">理念</a></dd>
<!-- <dd class="content"><a href="/staff/">スタッフ紹介</a></dd> -->
</dl>
<dl class="column activity">
<dt class="title">Activity</dt>
<dd class="content"><a href="/seminar/">講演会のお知らせ</a></dd>
<dd class="content"><a href="/report/">活動報告</a></dd>
</dl>
<dl class="column access">
<dt class="title">Access</dt>
<dd class="content">〒562-0042<br>⼤阪府箕⾯市百楽荘1-3-21<br>阪急牧落駅東出口より徒歩1分</dd>
<dd class="content">寺嶋歯科医院内</dd>
<dd class="content tel">TEL <a href="tel:072-743-8571">072-743-8571</a></dd>
</dl>
<dl class="column hours">
<dt class="title">Office Hours</dt>
<dd class="content"><span class="ja">午前</span><span class="en">09:30-13:00</span></dd>
<dd class="content"><span class="ja">午後</span><span class="en">14:30-19:00</span></dd>
<dd class="content">土曜日午後はスペシャルニーズ外来</dd>
</dl>
</div>
<p class="copyright">
<span class="en">Copyright &copy; 2019</span>
<span class="ja">箕⾯市の⻭科医院</span>
<span class="en">TERASHIMA Dental Clinic All Rights Reserved. </span>
</p>
</footer>

<!-- End of include : source=themes/toc/include/footer.html -->






<script src="https://yubinbango.github.io/yubinbango/yubinbango.js" charset="UTF-8"></script>
<script>
$(document).ready(function(){
function url_query_param() {
var param = new Array();
var search = location.search.replace('?', '').split('&');
search.forEach(function (val) {
var sep_val = val.split('=');
param[sep_val[0]] = sep_val[1];
});
return param;
}
var params = url_query_param();
if( params['category'] ){
var eq = params['category'] * 1 - 1;
$('input[name="category[]"]').eq(eq).prop('checked', true);
}
});
</script>


</body>
</html>
', Field_Validation)
#11 /home/users/2/main.jp-mdef/web/toc-minoh/index.php(56): require_once('/home/users/2/main.jp-mdef/web/toc-minoh/php/main.php')