{% extends 'default_frame.twig' %}{% block javascript %}<script></script>{% endblock javascript %}{% block main %}<style type="text/css">@media only screen and (min-width:641px) {/*pc*/ #sell_gold_bars_form_wrap{ width: 70%; margin: auto; }}.sell_gold_bars_form_table { width: 100%; border-collapse: collapse; margin-bottom: 1rem;}.sell_gold_bars_form_table th { background-color: #f8f9fa; padding: 1rem; text-align: left; border: 1px solid #ddd; width: 150px;}.sell_gold_bars_form_table td { padding: 1rem; border: 1px solid #ddd;}.gold_bars_banner { text-align: center; margin: 2rem 0;}.gold_bars_banner img { max-width: 100%; height: auto;}</style><div class="ec-pageHeader"> <h1>【ゴールドバーお売りください】お問い合わせ</h1></div><div class="ec-off1Grid"> <div class="ec-off1Grid__cell"> <!-- アラートメッセージ --> {{ include('@PiaContact/default/alert.twig') }} <div id="sell_gold_bars_form_wrap"> <div class="ec-borderedDefs"> <!-- バナー画像 --> <div class="gold_bars_banner"> <img src="https://www.coinpalace.jp/user_data/img/top_banner_half_gold1_sm.jpg" alt="ゴールドバーお売りください"> </div> <form name="form1" id="form1" method="post" action="{{ url('plugin_pia_sell_gold_bars') }}"> {{ form_widget(form._token) }} <input type="hidden" name="mode" value="confirm"> <table class="sell_gold_bars_form_table"> <tr> <th>{{ form_label(form.weight) }}</th> <td> <div class="ec-input{{ has_errors(form.weight) ? ' error' }}"> {{ form_widget(form.weight) }} {{ form_errors(form.weight) }} </div> </td> </tr> <tr> <th>お名前 <span style="color: red">必須</span></th> <td> <div class="ec-halfInput{{ has_errors(form.name.name01, form.name.name02) ? ' error'}}"> {{ form_widget(form.name.name01, { 'attr': { 'placeholder': '姓' }}) }} {{ form_widget(form.name.name02, { 'attr': { 'placeholder': '名' }}) }} {{ form_errors(form.name.name01) }} {{ form_errors(form.name.name02) }} </div> </td> </tr> <tr> <th>メールアドレス <span style="color: red">必須</span></th> <td> <div class="ec-input{{ has_errors(form.email) ? ' error' }}"> {{ form_widget(form.email, { 'attr': { 'placeholder': '例:sample@example.com' }}) }} {{ form_errors(form.email) }} </div> </td> </tr> <tr> <th>電話番号 <span style="color: red">必須</span></th> <td> <div class="ec-telInput{{ has_errors(form.tel) ? ' error' }}"> {{ form_widget(form.tel) }} {{ form_errors(form.tel) }} </div> </td> </tr> <tr> <th>{{ form_label(form.inquiries) }}</th> <td> <div class="ec-input{{ has_errors(form.inquiries) ? ' error' }}"> {{ form_widget(form.inquiries) }} {{ form_errors(form.inquiries) }} </div> </td> </tr> </table> <div class="ec-off4Grid" style="margin-top: 2rem;"> <div class="ec-off4Grid__cell"> <button type="submit" class="ec-blockBtn--action">{{ '確認ページへ'|trans }}</button> </div> </div> </form> </div> </div> </div></div>{% endblock %}