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<label for="OptFormSubmission8997Checkbox3">税務顧問</label>
<input type="checkbox" class="checkbox-group-opt" id="OptFormSubmission8997Checkbox4" value="その他" />
<label for="OptFormSubmission8997Checkbox4">その他</label>
<input type=hidden id="FormSubmission8997" name="data[FormSubmission][8997]" value=""/>
</fieldset>
</div>

<div class="input text">
<label for="FormSubmission9004">ご用件</label>
<textarea name="data[FormSubmission][9004]" maxlength="1000" class="maxlength-1000 vertical-dir" cols="30" rows="6" id="FormSubmission9004"></textarea>
</div>

<input type="hidden" name="data[Form][publicid]" value="64e9a6be162fb297dc5c1596fa74b8b6" id="FormPublicid"/>
<input type="hidden" name="data[Processing][isIframe]" id="ProcessingIsIframe"/>
<input type="hidden" name="data[Processing][form_version]" value="2" id="ProcessingFormVersion"/>
<div class="informakers-honey" style="display:none;">
<label>Leave this field blank</label>
<input id="FormEmail" type="text" name="email" />
</div>

<div id="formSubmitButtonActive">
<div class="submit" >
<input class="submission" id="submit-confirm-64e9a6be162fb297dc5c1596fa74b8b6" type="button" value="フォームを送信"/>
</div>
</div>

</form>
</div>

<div class="confirmDialog-64e9a6be162fb297dc5c1596fa74b8b6 skins-fixed-width-skin" id="confirmDialog" title="confirm choices" style="display:none;">
<div class="confirmDialogFormContent-64e9a6be162fb297dc5c1596fa74b8b6" id="confirmDialogFormContent">empty-text</div>
</div>
<iframe name="hidden-submit" width="0" height="0" border="0" style="display:none;"></iframe>
<script type="text/javascript" src="https://informakers.alpha-mail.jp/js/global.min.js?v=3.0.0"></script>
<script type="text/javascript" src="https://informakers.alpha-mail.jp/js/jquery.informakers-version-2.min.js?v=3.0.0"></script>
<script type="text/javascript" src="https://informakers.alpha-mail.jp/js/jquery.informakers.min.js?v=3.0.0"></script>
<script type="text/javascript">
$(document).ready(function() {
$('input[value="64e9a6be162fb297dc5c1596fa74b8b6"]').parent().closest('form').informakersForm2({
css: [ 'https://ajax.googleapis.com/ajax/libs/jqueryui/1.8.13/themes/ui-lightness/jquery-ui.css', 'https://informakers.alpha-mail.jp/css/skins/fixed-width-skin.css?v=3.0.0'],
translation: {lang: 'jpn', file: 'https://informakers.alpha-mail.jp/jstranslate.php?lang=jpn'},
});


//Variables for FormMethods Object
var form_args_64e9a6be162fb297dc5c1596fa74b8b6 = {
form: $('input[value="64e9a6be162fb297dc5c1596fa74b8b6"]').parent(),
public_id: "64e9a6be162fb297dc5c1596fa74b8b6",
is_embedded: "1",
recaptcha_val: "",
form_types: {8998:"text",8999:"text",9000:"text",9001:"text",9002:"text",8997:"checkbox-group",9004:"textarea"},
confirm_msg: "下記のご記入内容に間違いがないか、ご確認下さい