{"id":90,"date":"2022-06-29T12:27:53","date_gmt":"2022-06-29T03:27:53","guid":{"rendered":"http:\/\/www.kiyota-and.co.jp\/wp\/?page_id=90"},"modified":"2022-07-08T17:42:36","modified_gmt":"2022-07-08T08:42:36","slug":"quot_contact","status":"publish","type":"page","link":"https:\/\/www.kiyota-and.co.jp\/en\/quote_contact","title":{"rendered":"Inquiry [Request for quotation]"},"content":{"rendered":"<div class=\"wpcf7 no-js\" id=\"wpcf7-f93-o1\" lang=\"ja\" dir=\"ltr\" data-wpcf7-id=\"93\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/90#wpcf7-f93-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact Form\" novalidate=\"novalidate\" data-status=\"init\" data-trp-original-action=\"\/en\/wp-json\/wp\/v2\/pages\/90#wpcf7-f93-o1\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"93\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.4\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"ja\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f93-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/fieldset>\n<div class=\"wrap_700 sp_wide\">\n\t<div class=\"lp_form\">\n\t\t<div class=\"lr_line\">\n\t\t\t<div class=\"confirm_sub_text\">\n\t\t\t\t<p class=\"btm20 ta_center\" style=\"font-weight: bold;\"><br \/>\nPlease fill in the necessary information in the form below,<span class=\"d-inline-block\" style=\"line-height: 1.5;\">Please press the confirm button.<\/span>\n\t\t\t\t<\/p>\n\t\t\t\t<p style=\"font-size: 14px;\">*This is not an order form.\n\t\t\t\t<\/p>\n\t\t\t\t<p style=\"font-size: 14px;\"><br \/>\n*If you are using the Daily Living Equipment Benefit System, depending on the local government, your application may not be accepted even if you purchase the product from the Kiyota Online Shop. Please be sure to check with your local government office before purchasing.\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<dl class=\"form_flex\">\n\t\t\t\t<dt>\n\t\t\t\t\t<p>User&#039;s name<span class=\"req\">Required<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/dt>\n\t\t\t\t<dd>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required w1\" id=\"your-name\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Example: Taro Kiyota\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/dd>\n\t\t\t\t<dt>\n\t\t\t\t\t<p>User address<span class=\"req\">Required<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/dt>\n\t\t\t\t<dd>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-address\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required w1\" id=\"your-address\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Example) \u3012108-0023 Tokyo Minato-ku Shibaura 4-3-4 Tamachi Kiyota Building Room 301\" value=\"\" type=\"text\" name=\"your-address\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/dd>\n\t\t\t\t<dt>\n\t\t\t\t\t<p>User&#039;s phone number<span class=\"req\">Required<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/dt>\n\t\t\t\t<dd>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"tel-30\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel w1\" id=\"tel-30\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Example: 03-3798-3617\" value=\"\" type=\"tel\" name=\"tel-30\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/dd>\n\t\t\t\t<dt>\n\t\t\t\t\t<p>Address to which estimates and other necessary documents should be sent\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/dt>\n\t\t\t\t<dd>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"send-address\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text w1\" id=\"send-address\" aria-invalid=\"false\" placeholder=\"If the address is the same as the user&#039;s address, leave it blank.\" value=\"\" type=\"text\" name=\"send-address\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/dd>\n\t\t\t\t<dt>\n\t\t\t\t\t<p>Product delivery address\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/dt>\n\t\t\t\t<dd>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"send-address-pro\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text w1\" id=\"send-address-pro\" aria-invalid=\"false\" placeholder=\"If the address is the same as the user&#039;s address, leave it blank.\" value=\"\" type=\"text\" name=\"send-address-pro\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/dd>\n\t\t\t\t<dt>\n\t\t\t\t\t<p>Contact phone number\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/dt>\n\t\t\t\t<dd>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"tel-60\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text w1\" id=\"tel-60\" aria-invalid=\"false\" placeholder=\"If it is the same as the user&#039;s phone number, leave it blank.\" value=\"\" type=\"text\" name=\"tel-60\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/dd>\n\t\t\t\t<dt>\n\t\t\t\t\t<p>email address<span class=\"req\">Required<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/dt>\n\t\t\t\t<dd>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email w1\" id=\"your-email\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\u4f8b\uff09k-kaihatsu@kiyota-and.co.jp\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/dd>\n\t\t\t\t<dt>\n\t\t\t\t\t<p>Name of the person who entered the inquiry\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/dt>\n\t\t\t\t<dd>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"contact-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text w1\" id=\"contact-name\" aria-invalid=\"false\" placeholder=\"Example: Hanako Kiyota\" value=\"\" type=\"text\" name=\"contact-name\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/dd>\n\t\t\t\t<dt>\n\t\t\t\t\t<p>Relationship to the user\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/dt>\n\t\t\t\t<dd>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"relationship\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text w1\" id=\"relationship\" aria-invalid=\"false\" placeholder=\"Example: Eldest daughter\" value=\"\" type=\"text\" name=\"relationship\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/dd>\n\t\t\t\t<dt>\n\t\t\t\t\t<p>Desired product (product number, product name, size, color, quantity)<span class=\"req\">Required<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/dt>\n\t\t\t\t<dd>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"item-info\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required w1\" id=\"item-info\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Example) KM-30 Head Guard Fit SM Black 1 piece\" value=\"\" type=\"text\" name=\"item-info\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/dd>\n\t\t\t\t<dt>\n\t\t\t\t\t<p>How I found out about Kiyota\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/dt>\n\t\t\t\t<dd>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"reason\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text w1\" id=\"reason\" aria-invalid=\"false\" placeholder=\"Example: I was referred to a hospital, and I searched for &quot;XX&quot; on the internet.\" value=\"\" type=\"text\" name=\"reason\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/dd>\n\t\t\t\t<dt>\n\t\t\t\t\t<p>Other requests\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/dt>\n\t\t\t\t<dd>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"youbou\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea w2\" id=\"youbou\" aria-invalid=\"false\" name=\"youbou\"><\/textarea><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/dd>\n\t\t\t<\/dl>\n\t\t\t<div class=\"privacy\">\n\t\t\t\t<p class=\"privacy_head\">Handling of personal information\n\t\t\t\t<\/p>\n\t\t\t\t<p>Regarding the handling of personal information you have entered,<a href=\"\/privacy\/\">Privacy Policy<\/a>Please check the following. The information you provide will be used only for the purpose of providing information and sales activities.\n\t\t\t\t<\/p>\n\t\t\t\t<p class=\"m_btn_text\"><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"acceptance-587\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"acceptance-587\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">I agree to the &quot;Handling of Personal Information&quot;<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner btn_crp m_auto m_top35 w_200\" type=\"submit\" value=\"To the confirmation screen\" \/><br \/>\n<input type=\"hidden\" name=\"_cf7msm_multistep_tag\" class=\"wpcf7-form-control wpcf7-multistep cf7msm-multistep\" value=\"{&quot;first_step&quot;:1,&quot;next_url&quot;:&quot;http:\\\/\\\/www.kiyota-and.co.jp\\\/quote_contact\\\/quote_confirm&quot;}\" \/><input type=\"hidden\" name=\"cf7msm-no-ss\" value=\"\" \/>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<input type=\"hidden\" name=\"trp-form-language\" value=\"en\"\/><\/form>\n<\/div>","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-contact.php","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-90","page","type-page","status-publish","hentry"],"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.kiyota-and.co.jp\/en\/wp-json\/wp\/v2\/pages\/90","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.kiyota-and.co.jp\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.kiyota-and.co.jp\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.kiyota-and.co.jp\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.kiyota-and.co.jp\/en\/wp-json\/wp\/v2\/comments?post=90"}],"version-history":[{"count":4,"href":"https:\/\/www.kiyota-and.co.jp\/en\/wp-json\/wp\/v2\/pages\/90\/revisions"}],"predecessor-version":[{"id":403,"href":"https:\/\/www.kiyota-and.co.jp\/en\/wp-json\/wp\/v2\/pages\/90\/revisions\/403"}],"wp:attachment":[{"href":"https:\/\/www.kiyota-and.co.jp\/en\/wp-json\/wp\/v2\/media?parent=90"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}