<span class="Tinnyfont"><br></span>
<span class="MiddleBold">個人アドレス入力</span>
<span class="Tinnyfont"><br><br></span>
<span class="Chufont">＊</span><span class="Normalfont">は入力必須項目です</span>
<table width="702" border="0" cellspacing="1" cellpadding="1" class="mainColor">
	<tr>
		<td>
			<table width="700" cellSpacing="1" cellPadding="1" border="0">
				<tr bgcolor="#ffffff">
					<td class="toneDown"><span class="Normalfont">氏名（表示名）</span><span class="Chufont">＊</span></td>
					<td><input maxlength="40" size="60" value="<!--{$PhpName}-->" name="view_name">
				</tr>
				<tr bgcolor="#ffffff">
					<td class="toneDown"><span class="Normalfont">氏名（フリガナ）</span><span class="Chufont">＊</span></td>
					<td><input maxlength="40" size="60" value="<!--{$PhpKana}-->" name="name_furi"><span class="Normalfont">（全角カタカナ）</span></td>
				</tr>
				<tr bgcolor="#ffffff">
					<td class="toneDown"><span class="Normalfont">メールアドレス</span><span class="Chufont">＊</span></td>
					<td><input maxlength="200" size="60" value="<!--{$PhpMail}-->" name="e_mail"></td>
				</tr>
			</table>
		</td>
	</tr>
</table>
<table width="702" border="0" cellspacing="0" cellpadding="0">
	<tr>
		<td height="35" width="702" align="left" colspan="2">
			<input type="button" onclick="return KojinToroku(<!--{$PhpSeq}-->);" value=" 登録する " name="toroku" <!--{$PHP_DISABLED}-->>
			<input type="button" onclick="return disp_inp_off();" value=" 取り消し ">
		</td>
	</tr>
</table>
<span class=Tinnyfont><br></span>