{"id":14,"date":"2021-08-06T01:39:43","date_gmt":"2021-08-05T16:39:43","guid":{"rendered":"https:\/\/estmens.jp\/gl\/?page_id=14"},"modified":"2021-08-06T03:15:04","modified_gmt":"2021-08-05T18:15:04","slug":"contact","status":"publish","type":"page","link":"https:\/\/estmens.jp\/gl\/contact\/","title":{"rendered":"\u30e1\u30fc\u30eb\u76f8\u8ac7\u30fb\u4e88\u7d04"},"content":{"rendered":"<div role=\"form\" class=\"wpcf7\" id=\"wpcf7-f196-o1\" lang=\"ja\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/gl\/wp-json\/wp\/v2\/pages\/14#wpcf7-f196-o1\" method=\"post\" class=\"wpcf7-form init\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"196\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.4.2\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"ja\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f196-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/div>\n<table class=\"contact-table\">\n<tr>\n<th>\u304a\u540d\u524d<span class=\"required\">*<\/span><br><small class=\"form-small\">(\u30ab\u30bf\u30ab\u30ca\u3067\u304a\u9858\u3044\u3044\u305f\u3057\u307e\u3059\u3002)<\/small><\/th>\n<td><span class=\"wpcf7-form-control-wrap your-name\"><input type=\"text\" name=\"your-name\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<th>\u3054\u5e74\u9f62<\/th>\n<td><span class=\"wpcf7-form-control-wrap age\"><input type=\"text\" name=\"age\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<th>\u96fb\u8a71\u756a\u53f7<span class=\"required\">*<\/span><br><small class=\"form-small\">(\u30cf\u30a4\u30d5\u30f3\u306f\u5fc5\u8981\u3042\u308a\u307e\u305b\u3093\u3002)<\/small><\/th>\n<td><span class=\"wpcf7-form-control-wrap your-tel\"><input type=\"tel\" name=\"your-tel\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-required wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<th>\u30e1\u30fc\u30eb\u30a2\u30c9\u30ec\u30b9<span class=\"required\">*<\/span><\/th>\n<td><span class=\"wpcf7-form-control-wrap your-email\"><input type=\"email\" name=\"your-email\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<th>\u3054\u5e0c\u671b\u6cbb\u7642\u9805\u76ee<br><small class=\"form-small\">(\u8907\u6570\u56de\u7b54\u53ef)<\/small><\/th>\n<td><span class=\"wpcf7-form-control-wrap ope\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"ope[]\" value=\"\u4eee\u6027\u5305\u830e\u6cbb\u7642\" \/><span class=\"wpcf7-list-item-label\">\u4eee\u6027\u5305\u830e\u6cbb\u7642<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"ope[]\" value=\"\u30ab\u30f3\u30c8\u30f3\u30fb\u771f\u6027\u5305\u830e\u6cbb\u7642\" \/><span class=\"wpcf7-list-item-label\">\u30ab\u30f3\u30c8\u30f3\u30fb\u771f\u6027\u5305\u830e\u6cbb\u7642<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"ope[]\" value=\"\u7279\u5225\u624b\u8853\u30fb\u6839\u90e8\u624b\u8853\" \/><span class=\"wpcf7-list-item-label\">\u7279\u5225\u624b\u8853\u30fb\u6839\u90e8\u624b\u8853<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"ope[]\" value=\"\u4e80\u982d\u30fb\u9670\u830e\u5897\u5927\" \/><span class=\"wpcf7-list-item-label\">\u4e80\u982d\u30fb\u9670\u830e\u5897\u5927<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"ope[]\" value=\"\u9577\u830e\u8853\" \/><span class=\"wpcf7-list-item-label\">\u9577\u830e\u8853<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"ope[]\" value=\"\u65e9\u6f0f\u6cbb\u7642\" \/><span class=\"wpcf7-list-item-label\">\u65e9\u6f0f\u6cbb\u7642<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"ope[]\" value=\"\u4e80\u982d\u30fb\u5305\u76ae\u708e\" \/><span class=\"wpcf7-list-item-label\">\u4e80\u982d\u30fb\u5305\u76ae\u708e<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"ope[]\" value=\"\u6027\u611f\u67d3\u75c7\" \/><span class=\"wpcf7-list-item-label\">\u6027\u611f\u67d3\u75c7<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"ope[]\" value=\"\u9670\u830e\u30fb\u4e80\u982d\u306e\u30d6\u30c4\u30d6\u30c4(\u30b3\u30f3\u30b8\u30ed\u30fc\u30de)\" \/><span class=\"wpcf7-list-item-label\">\u9670\u830e\u30fb\u4e80\u982d\u306e\u30d6\u30c4\u30d6\u30c4(\u30b3\u30f3\u30b8\u30ed\u30fc\u30de)<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"ope[]\" value=\"\u9670\u830e\u30fb\u4e80\u982d\u306e\u30d6\u30c4\u30d6\u30c4(\u30d5\u30a9\u30a2\u30c0\u30a4\u30b9)\" \/><span class=\"wpcf7-list-item-label\">\u9670\u830e\u30fb\u4e80\u982d\u306e\u30d6\u30c4\u30d6\u30c4(\u30d5\u30a9\u30a2\u30c0\u30a4\u30b9)<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"ope[]\" value=\"\u30b7\u30ea\u30b3\u30f3\u30dc\u30fc\u30eb\" \/><span class=\"wpcf7-list-item-label\">\u30b7\u30ea\u30b3\u30f3\u30dc\u30fc\u30eb<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"ope[]\" value=\"\u30d1\u30a4\u30d7\u30ab\u30c3\u30c8\" \/><span class=\"wpcf7-list-item-label\">\u30d1\u30a4\u30d7\u30ab\u30c3\u30c8<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"ope[]\" value=\"\u4ed6\u9662\u306e\u30ad\u30ba\u4fee\u6b63\" \/><span class=\"wpcf7-list-item-label\">\u4ed6\u9662\u306e\u30ad\u30ba\u4fee\u6b63<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"ope[]\" value=\"\u5185\u677f\u518d\u5efa\u8853(\u6027\u611f\u306e\u56de\u5fa9)\" \/><span class=\"wpcf7-list-item-label\">\u5185\u677f\u518d\u5efa\u8853(\u6027\u611f\u306e\u56de\u5fa9)<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"ope[]\" value=\"ED\" \/><span class=\"wpcf7-list-item-label\">ED<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"ope[]\" value=\"\u305d\u306e\u4ed6\" \/><span class=\"wpcf7-list-item-label\">\u305d\u306e\u4ed6<\/span><\/span><\/span><\/span><\/td>\n<\/tr>\n<tr>\n<th>\u304a\u652f\u6255\u3044\u65b9\u6cd5<\/th>\n<td><span class=\"wpcf7-form-control-wrap pay\"><select name=\"pay\" class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\"><option value=\"\">---<\/option><option value=\"\u73fe\u91d1\">\u73fe\u91d1<\/option><option value=\"\u30af\u30ec\u30b8\u30c3\u30c8\u30ab\u30fc\u30c9\">\u30af\u30ec\u30b8\u30c3\u30c8\u30ab\u30fc\u30c9<\/option><option value=\"\u30ed\u30fc\u30f3\">\u30ed\u30fc\u30f3<\/option><\/select><\/span><\/td>\n<\/tr>\n<tr>\n<th>\u3054\u6765\u9662\u5e0c\u671b\u9662<\/th>\n<td>\n<span class=\"wpcf7-form-control-wrap clinic\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"clinic[]\" value=\"\u6a2a\u6d5c\u9662\" \/><span class=\"wpcf7-list-item-label\">\u6a2a\u6d5c\u9662<\/span><\/span><\/span><\/span>\n<\/td>\n<\/tr>\n<tr>\n<tr class=\"form-date\">\n<th>\u3054\u4e88\u7d04\u5e0c\u671b\u65e5\u6642<br><small class=\"form-small\">(\u7b2c\u4e00\u5019\u88dc)<\/small><\/th>\n<td>\n<p>\u65e5\u306b\u3061<br \/>\n<span class=\"wpcf7-form-control-wrap date1\"><input type=\"text\" name=\"date1\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-date\" placeholder=\"\u30af\u30ea\u30c3\u30af\u3057\u3066\u65e5\u4ed8\u3092\u9078\u629e\" \/> <\/span>\n<\/p>\n<p>\u6642\u9593\u5e2f<\/p>\n<p><span class=\"wpcf7-form-control-wrap time1\"><input type=\"text\" name=\"time1\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-date wpcf7-time walcf7-timepicker\" placeholder=\"\u30af\u30ea\u30c3\u30af\u3057\u3066\u6642\u9593\u5e2f\u3092\u9078\u629e\" \/> <\/span>\n<\/p>\n<\/td>\n<\/tr>\n<tr class=\"form-date\">\n<th>\u3054\u4e88\u7d04\u5e0c\u671b\u65e5\u6642<br><small class=\"form-small\">(\u7b2c\u4e8c\u5019\u88dc)<\/small><\/th>\n<td>\n<p>\u65e5\u306b\u3061<br \/>\n<span class=\"wpcf7-form-control-wrap date2\"><input type=\"text\" name=\"date2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-date\" placeholder=\"\u30af\u30ea\u30c3\u30af\u3057\u3066\u65e5\u4ed8\u3092\u9078\u629e\" \/> <\/span>\n<\/p>\n<p>\u6642\u9593\u5e2f<\/p>\n<p><span class=\"wpcf7-form-control-wrap time2\"><input type=\"text\" name=\"time2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-date wpcf7-time walcf7-timepicker\" placeholder=\"\u30af\u30ea\u30c3\u30af\u3057\u3066\u6642\u9593\u5e2f\u3092\u9078\u629e\" \/> <\/span>\n<\/p>\n<\/td>\n<\/tr>\n<tr class=\"form-date\">\n<th>\u3054\u4e88\u7d04\u5e0c\u671b\u65e5\u6642<br><small class=\"form-small\">(\u7b2c\u4e09\u5019\u88dc)<\/small><\/th>\n<td>\n<p>\u65e5\u306b\u3061<br \/>\n<span class=\"wpcf7-form-control-wrap date3\"><input type=\"text\" name=\"date3\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-date\" placeholder=\"\u30af\u30ea\u30c3\u30af\u3057\u3066\u65e5\u4ed8\u3092\u9078\u629e\" \/> <\/span><\/p>\n<p>\u6642\u9593\u5e2f<br \/>\n<span class=\"wpcf7-form-control-wrap time3\"><input type=\"text\" name=\"time3\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-date wpcf7-time walcf7-timepicker\" placeholder=\"\u30af\u30ea\u30c3\u30af\u3057\u3066\u6642\u9593\u5e2f\u3092\u9078\u629e\" \/> <\/span>\n<\/p>\n<\/td>\n<\/tr>\n<tr>\n<th>\u305d\u306e\u4ed6\u3054\u8981\u671b<\/th>\n<td><span class=\"wpcf7-form-control-wrap your-message\"><textarea name=\"your-message\" cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\"><\/textarea><\/span><\/td>\n<\/tr>\n<\/table>\n<div class=\"contact-submit\">\n<input type=\"submit\" value=\"\u9001\u4fe1\" class=\"wpcf7-form-control wpcf7-submit btn-3d contact-submit__btn\" \/>\n<\/div>\n<div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div><\/form><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"templates\/full-width-fixed.php","meta":{"footnotes":""},"class_list":["post-14","page","type-page","status-publish"],"_links":{"self":[{"href":"https:\/\/estmens.jp\/gl\/wp-json\/wp\/v2\/pages\/14","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/estmens.jp\/gl\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/estmens.jp\/gl\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/estmens.jp\/gl\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/estmens.jp\/gl\/wp-json\/wp\/v2\/comments?post=14"}],"version-history":[{"count":3,"href":"https:\/\/estmens.jp\/gl\/wp-json\/wp\/v2\/pages\/14\/revisions"}],"predecessor-version":[{"id":198,"href":"https:\/\/estmens.jp\/gl\/wp-json\/wp\/v2\/pages\/14\/revisions\/198"}],"wp:attachment":[{"href":"https:\/\/estmens.jp\/gl\/wp-json\/wp\/v2\/media?parent=14"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}