{"id":329,"date":"2015-09-15T09:50:30","date_gmt":"2015-09-15T00:50:30","guid":{"rendered":"http:\/\/www.flora-g.co.jp\/?page_id=329"},"modified":"2023-05-18T13:40:24","modified_gmt":"2023-05-18T04:40:24","slug":"funeral-request","status":"publish","type":"page","link":"https:\/\/www.flora-g.co.jp\/funeral\/funeral-request","title":{"rendered":"\u8cc7\u6599\u8acb\u6c42"},"content":{"rendered":"<div id=\"pageCatch\">\r\n<h2>\u8cc7\u6599\u8acb\u6c42<\/h2>\r\n<p>REQUEST<\/p>\r\n<\/div>\r\n\r\n<ul id=\"breadcrumb\">\r\n<li><a href=\"https:\/\/www.flora-g.co.jp\/funeral\/\">\u30c8\u30c3\u30d7<\/a><\/li>\r\n<li>\u8cc7\u6599\u8acb\u6c42<\/li>\r\n<\/ul>\r\n\r\n<div id=\"box01\">\r\n<p>\u30d5\u30ed\u30fc\u30e9\u306e\u846c\u5100\u306b\u95a2\u3059\u308b\u8cc7\u6599\u3092\u7121\u6599\u3067\u304a\u9001\u308a\u3044\u305f\u3057\u307e\u3059<\/p>\r\n<p id=\"glsign\"><span id=\"ss_gmo_img_wrapper_115-57_image_ja\">\r\n<a href=\"https:\/\/jp.globalsign.com\/\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">\r\n<img decoding=\"async\" alt=\"SSL\u3000GMO\u30b0\u30ed\u30fc\u30d0\u30eb\u30b5\u30a4\u30f3\u306e\u30b5\u30a4\u30c8\u30b7\u30fc\u30eb\" border=\"0\" id=\"ss_img\" src=\"\/\/seal.globalsign.com\/SiteSeal\/images\/gs_noscript_115-57_ja.gif\">\r\n<\/a>\r\n<\/span>\r\n<script type=\"text\/javascript\" src=\"\/\/seal.globalsign.com\/SiteSeal\/gmogs_image_115-57_ja.js\" defer=\"defer\"><\/script><\/p>\r\n<div class=\"mt30 center\">\r\n<p class=\"mb5 t20\">\u4e8b\u524d\u76f8\u8ac7\u4e88\u7d04 \u53d7\u4ed8\u4e2d<\/p>\r\n<p class=\"mb10\">\u3054\u846c\u5100\u306b\u95a2\u3059\u308b\u7591\u554f\u3084\u4e0d\u5b89\u306e\u3054\u76f8\u8ac7\u3082<br class=\"sp\">\u627f\u3063\u3066\u304a\u308a\u307e\u3059\u3002<\/p>\r\n<div class=\"button\"><a href=\"https:\/\/www.flora-g.co.jp\/funeral\/funeral_reserve\">\u4e8b\u524d\u3054\u76f8\u8ac7\u4e88\u7d04\u306f\u3053\u3061\u3089<\/a><\/div>\r\n<\/div>\r\n<\/div>\r\n\r\n<div id=\"box02\">\r\n<h3>\u8cc7\u6599\u8acb\u6c42<\/h3>\r\n<div>\r\n\n<div 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\/>\n<\/div>\n<table>\n\t<tr>\n\t\t<th>\n\t\t\t<p><span>\u5fc5\u9808<\/span>\u5e0c\u671b\u8cc7\u6599\n\t\t\t<\/p>\n\t\t<\/th>\n\t\t<td>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"kibou\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"kibou\" value=\"\u846c\u796d\u95a2\u9023\" \/><span class=\"wpcf7-list-item-label\">\u846c\u796d\u95a2\u9023<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"kibou\" value=\"\u4e92\u52a9\u4f1a\" \/><span class=\"wpcf7-list-item-label\">\u4e92\u52a9\u4f1a<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t<\/tr>\n\t<tr>\n\t\t<th>\n\t\t\t<p><span>\u5fc5\u9808<\/span>\u9001\u4ed8\u65b9\u6cd5\n\t\t\t<\/p>\n\t\t<\/th>\n\t\t<td>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"soufu\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"soufu[]\" value=\"\u203b\u300c\u846c\u5100\u793e\u304b\u3089\u306e\u8cc7\u6599\u300d\u3068\u5206\u304b\u3089\u306a\u3044\u5c01\u7b52\u3067\u9001\u4ed8\u3092\u5e0c\u671b\" \/><span class=\"wpcf7-list-item-label\">\u203b\u300c\u846c\u5100\u793e\u304b\u3089\u306e\u8cc7\u6599\u300d\u3068\u5206\u304b\u3089\u306a\u3044\u5c01\u7b52\u3067\u9001\u4ed8\u3092\u5e0c\u671b<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t<\/tr>\n\t<tr>\n\t\t<th>\n\t\t\t<p><span>\u5fc5\u9808<\/span>\u5bfe\u8c61\u30a8\u30ea\u30a2\n\t\t\t<\/p>\n\t\t<\/th>\n\t\t<td>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"area\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"area\" value=\"\u798f\u5cf6\u770c\" \/><span class=\"wpcf7-list-item-label\">\u798f\u5cf6\u770c<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"area\" value=\"\u5bae\u57ce\u770c\" 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value=\"\">&#8212;\u4ee5\u4e0b\u304b\u3089\u9078\u629e\u3057\u3066\u304f\u3060\u3055\u3044&#8212;<\/option><option value=\"\u5317\u6d77\u9053\">\u5317\u6d77\u9053<\/option><option value=\"\u9752\u68ee\u770c\">\u9752\u68ee\u770c<\/option><option value=\"\u5ca9\u624b\u770c\">\u5ca9\u624b\u770c<\/option><option value=\"\u5bae\u57ce\u770c\">\u5bae\u57ce\u770c<\/option><option value=\"\u79cb\u7530\u770c\">\u79cb\u7530\u770c<\/option><option value=\"\u5c71\u5f62\u770c\">\u5c71\u5f62\u770c<\/option><option value=\"\u798f\u5cf6\u770c\">\u798f\u5cf6\u770c<\/option><option value=\"\u8328\u57ce\u770c\">\u8328\u57ce\u770c<\/option><option value=\"\u6803\u6728\u770c\">\u6803\u6728\u770c<\/option><option value=\"\u7fa4\u99ac\u770c\">\u7fa4\u99ac\u770c<\/option><option value=\"\u57fc\u7389\u770c\">\u57fc\u7389\u770c<\/option><option value=\"\u5343\u8449\u770c\">\u5343\u8449\u770c<\/option><option value=\"\u6771\u4eac\u90fd\">\u6771\u4eac\u90fd<\/option><option value=\"\u795e\u5948\u5ddd\u770c\">\u795e\u5948\u5ddd\u770c<\/option><option value=\"\u65b0\u6f5f\u770c\">\u65b0\u6f5f\u770c<\/option><option value=\"\u5bcc\u5c71\u770c\">\u5bcc\u5c71\u770c<\/option><option value=\"\u77f3\u5ddd\u770c\">\u77f3\u5ddd\u770c<\/option><option value=\"\u798f\u4e95\u770c\">\u798f\u4e95\u770c<\/option><option value=\"\u5c71\u68a8\u770c\">\u5c71\u68a8\u770c<\/option><option value=\"\u9577\u91ce\u770c\">\u9577\u91ce\u770c<\/option><option value=\"\u5c90\u961c\u770c\">\u5c90\u961c\u770c<\/option><option value=\"\u9759\u5ca1\u770c\">\u9759\u5ca1\u770c<\/option><option value=\"\u611b\u77e5\u770c\">\u611b\u77e5\u770c<\/option><option value=\"\u4e09\u91cd\u770c\">\u4e09\u91cd\u770c<\/option><option value=\"\u6ecb\u8cc0\u770c\">\u6ecb\u8cc0\u770c<\/option><option value=\"\u4eac\u90fd\u5e9c\">\u4eac\u90fd\u5e9c<\/option><option value=\"\u5927\u962a\u5e9c\">\u5927\u962a\u5e9c<\/option><option value=\"\u5175\u5eab\u770c\">\u5175\u5eab\u770c<\/option><option value=\"\u5948\u826f\u770c\">\u5948\u826f\u770c<\/option><option value=\"\u548c\u6b4c\u5c71\u770c\">\u548c\u6b4c\u5c71\u770c<\/option><option value=\"\u9ce5\u53d6\u770c\">\u9ce5\u53d6\u770c<\/option><option value=\"\u5cf6\u6839\u770c\">\u5cf6\u6839\u770c<\/option><option value=\"\u5ca1\u5c71\u770c\">\u5ca1\u5c71\u770c<\/option><option value=\"\u5e83\u5cf6\u770c\">\u5e83\u5cf6\u770c<\/option><option value=\"\u5c71\u53e3\u770c\">\u5c71\u53e3\u770c<\/option><option value=\"\u5fb3\u5cf6\u770c\">\u5fb3\u5cf6\u770c<\/option><option value=\"\u9999\u5ddd\u770c\">\u9999\u5ddd\u770c<\/option><option value=\"\u611b\u5a9b\u770c\">\u611b\u5a9b\u770c<\/option><option value=\"\u9ad8\u77e5\u770c\">\u9ad8\u77e5\u770c<\/option><option value=\"\u798f\u5ca1\u770c\">\u798f\u5ca1\u770c<\/option><option value=\"\u4f50\u8cc0\u770c\">\u4f50\u8cc0\u770c<\/option><option value=\"\u9577\u5d0e\u770c\">\u9577\u5d0e\u770c<\/option><option value=\"\u718a\u672c\u770c\">\u718a\u672c\u770c<\/option><option value=\"\u5927\u5206\u770c\">\u5927\u5206\u770c<\/option><option value=\"\u5bae\u5d0e\u770c\">\u5bae\u5d0e\u770c<\/option><option value=\"\u9e7f\u5150\u5cf6\u770c\">\u9e7f\u5150\u5cf6\u770c<\/option><option value=\"\u6c96\u7e04\u770c\">\u6c96\u7e04\u770c<\/option><\/select><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t<\/tr>\n\t<tr>\n\t\t<th>\n\t\t\t<p><span>\u5fc5\u9808<\/span>\u4f4f\u6240(\u8a73\u7d30)\n\t\t\t<\/p>\n\t\t<\/th>\n\t\t<td>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"address2\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required wpcf7-form-long\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"address2\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t<\/tr>\n\t<tr>\n\t\t<th>\n\t\t\t<p><span>\u5fc5\u9808<\/span>\u96fb\u8a71\u756a\u53f7\n\t\t\t<\/p>\n\t\t<\/th>\n\t\t<td>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"tel\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-tel 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name=\"comment\"><\/textarea><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t<\/tr>\n\t<tr>\n\t\t<th>\n\t\t\t<p><span>\u5fc5\u9808<\/span>\u3054\u78ba\u8a8d\n\t\t\t<\/p>\n\t\t<\/th>\n\t\t<td>\n\t\t\t<p><label><span class=\"wpcf7-form-control-wrap\" data-name=\"accept\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"accept\" value=\"1\" aria-invalid=\"false\" \/><\/span><\/span><\/span> \u4e0a\u8a18\u5185\u5bb9\u3067\u9001\u4fe1\u3057\u3066\u3082\u3088\u308d\u3057\u3051\u308c\u3070\u30c1\u30a7\u30c3\u30af\u3057\u3066\u304f\u3060\u3055\u3044\u3002<\/label>\n\t\t\t<\/p>\n\t\t<\/td>\n\t<\/tr>\n<\/table>\n<div class=\"center mb20\">\n\t<p>\u203b\u4e88\u3081<a href=\"#box03\" class=\"tx_red\">\u500b\u4eba\u60c5\u5831\u4fdd\u8b77\u65b9\u91dd<\/a>\u3092\u3054\u78ba\u8a8d\u306e\u4e0a\u9001\u4fe1\u3057\u3066\u304f\u3060\u3055\u3044\u3002\n\t<\/p>\n<\/div>\n<p><input class=\"wpcf7-form-control has-spinner wpcf7-submit\" id=\"submit\" 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