document.write('<!--LP_FORM_START-->');
document.write('		<form method="post" name="sfm-form" id="sfm-form" class="area_form" action="//auhikari-kddi.com/move/area/confirm.html">');
document.write('			<table class="form_table">');
document.write('				<tr class="required-radio">');
document.write('					<th>');
document.write('						<span class="required">必須</span>');
document.write('						<span>お手続き内容</span>');
document.write('					</th>');
document.write('					<td>');
document.write('						<div class="radio_wrap">');
document.write('							<input type="hidden" name="content_s">');
document.write('							<input type="radio" id="content_1" name="content_s" value="新規お申し込み" >');
document.write('							<label for="content_1">新規お申し込み</label>');
document.write('							<input type="radio" id="content_2" name="content_s" value="引越し手続き（auひかりを利用中）" >');
document.write('							<label for="content_2">引越し手続き（auひかりを利用中）</label>');
document.write('							<input type="radio" id="content_3" name="content_s" value="auひかりへ乗り換え" >');
document.write('							<label for="content_3">auひかりへ乗り換え</label>');
document.write('						</div>');
document.write('						<div class="ERR" style="font-weight:bold;"></div>');
document.write('					</td>');
document.write('				</tr>');
document.write('				<tr class="required_input">');
document.write('					<th><span class="required">必須</span>住所</th>');
document.write('					<td>');
document.write('						<input type="text" id="address" name="address1_s" placeholder="例）〇〇県 〇〇市 〇〇1丁目1-2 〇〇マンション101" class="form_input" value="">');
document.write('						<div class="ERR" style="font-weight:bold;"></div>');
document.write('					</td>');
document.write('				</tr>');
document.write('				<tr class="required_input">');
document.write('					<th><span class="required">必須</span>お名前</th>');
document.write('					<td>');
document.write('						<input class="form_input" type="text" name="name_s" id="name" size="30" placeholder="例）東京太郎" value="" />');
document.write('						<div class="ERR" style="font-weight:bold;"></div>');
document.write('					</td>');
document.write('				</tr>');
document.write('				<tr class="required_input">');
document.write('					<th><span class="required">必須</span>電話番号</th>');
document.write('					<td>');
document.write('						<input type="tel" name="tel_s" id="tel" placeholder="例）09012345678　※ハイフン不要" class="form_input" value="" />');
document.write('						<div class="ERR" style="font-weight:bold;"></div>');
document.write('					</td>');
document.write('				</tr>');
document.write('			</table>');
document.write('');
document.write('			<!-- PC / スマホアクセスを判別（メール件名振り分け） -->');
document.write('			<input type="hidden" name="subject" value="【AUonenet_G_SP_全国_夜間_auひかり_個人_引越_None】提供メール" />');
document.write('			<input type="hidden" name="orderid" id="orderid" value="260404-065935" />');
document.write('			<input type="hidden" name="action" value="conf" />');
document.write('			');
document.write('			<div class="form_announce">');
document.write('				<p>入力の間違いが多くなっております。入力した情報に間違いがないか、今一度ご確認ください。</p>');
document.write('				<p>当メールフォームにて入力された内容については、当社の<a href="https://auhikari-kddi.com/privacy/" target="_blank">プライバシーポリシー</a>に沿って、厳重に管理いたします。</p>');
document.write('			</div>');
document.write('			<div class="form_buttons">');
document.write('				<div class="form_buttons_elem _is_half">');
document.write('					<input class="button confirm form_btn" type="submit" name="submit" value="確認画面へ進む" />');
document.write('				</div>');
document.write('			</div>');
document.write('			<div class="pcnone">');
document.write('				<div class="form_lead">');
document.write('					<div class="form_lead_ssl">');
document.write('						<span><img src="../template/img/sslSeal.gif" alt="RapidSSL" /></span>');
document.write('						<span>お客様の情報はSSL暗号化通信により保護されています。安心してご利用ください。</span>');
document.write('					</div>');
document.write('				</div>');
document.write('			</div>');
document.write('		</form>');
document.write('		');
document.write('<script>');
document.write('var lpQuery = location.search;');
document.write('var element = document.forms[0]; ');
document.write('element.action = element.getAttribute(\'action\')+lpQuery;');
document.write('</script>');