document.write("<script src='/plugins/layer/layer.min.js'></script>");
document.write("<link href='/plugins/Validform/Validform.css' rel='stylesheet'/>");
document.write("<script src='/plugins/Validform/Validform.min.js'></script>");
document.write("<script type='text/javascript'>$(function(){$('.gbookform').Validform()})</script>");
document.write("<link rel='stylesheet' type='text/css' href='/gbook/gbook.css'/>");
document.write(" <form id='drive_form' class='gbookform' method='post' name='drive_form' action='/?act=gbooking'>");
document.write(" <input name='userid' type='hidden' value=''>");
document.write(" <input name='backurl' type='hidden' value='"+window.location.href +"'>");
 
document.write(" <table width='100%' border='0' align='center' cellpadding='0' cellspacing='0' class='msg_table'><tr>");
 
document.write(" <th width='80'>お名前：</th>");
document.write(" <td><input class='tbox_220' type='text' name='gname' value='' id='txt_user_name'datatype='*'><span class='red_zi'>*</span></td></tr>");
  
document.write(" <tr><th>携帯電話：</th><td><input class='tbox_220' type='text' name='gtel' value='' id='txt_user_tel' datatype='m'><span class='red_zi'>*</span></td></tr>");
  
document.write(" <tr><th>E-Mail：</th><td><input class='tbox_220' type='text' name='gemail'  value='' id='txt_user_email'  datatype='e'><span class='red_zi'>*</span></td></tr>");
 
document.write("<tr><th>内容：</th><td><input type='radio' id='zdanxuan0' name='zdanxuan'  value='お問い合わせ'/><label for='zdanxuan0'>お問い合わせ</label> <input type='radio' id='zdanxuan1' name='zdanxuan'  value='資料請求'/><label for='zdanxuan1'>資料請求</label> <span class='red_zi'>*</span></td></tr><tr><th>法人・個人区分：</th><td><input type='radio' id='zfaren0' name='zfaren'  value='法人'/><label for='zfaren0'>法人</label> <input type='radio' id='zfaren1' name='zfaren'  value='個人'/><label for='zfaren1'>個人</label> <span class='red_zi'>*</span></td></tr><tr><th>どの商品への お問い合わせですか？ （複数選択可）：</th><td><input type='checkbox' id='zproductlist0' name='zproductlist'  value='コンテナバッグ'/><label for='zproductlist0'>コンテナバッグ</label> <input type='checkbox' id='zproductlist1' name='zproductlist'  value='ブルーターポリン'/><label for='zproductlist1'>ブルーターポリン</label> <input type='checkbox' id='zproductlist2' name='zproductlist'  value='PE·PP袋'/><label for='zproductlist2'>PE·PP袋</label> <input type='checkbox' id='zproductlist3' name='zproductlist'  value='集装袋のパラメータ'/><label for='zproductlist3'>集装袋のパラメータ</label> <span class='red_zi'>*</span></td></tr><tr><th>貴社名：</th><td><input name='zgongsi' id='zgongsi' type='text' class='tbox_220' value='' ></td></tr>")

document.write(" <tr><th>&nbsp;</th><td ><input class='red_btn' type='submit' value='留言' id='btnSubmit' /></td></tr>");
document.write(" </table></form>");
document.write(" <script>$('#imgcode').focus(function (){$('#SeedImg').click();$('.imgcode').show()});</script> ");