[% INCLUDE 'tmpl/html_mobileheader.tmpl' %]

<div style="background-color:#FFCC00;text-align:center;padding:5px;">
登録
</div>
<div class="box_con" style="background-color:#FFFFFF;padding-bottom:5px;font-size:small;">
<br>
<form action="[% admindata.homeurl %]reg.cgi" method="post" accept-charset="euc-jp">
<table>
    <tr>
      <td bgcolor="#FFCC00">
メールアドレス
	  </td>
	</tr>
	<tr>
	  <td style="width:300px; background-color:#FFF; padding:0px;">

[% IF doptdata.id %]
	[% doptdata.email|html %]
[% ELSE %]
	<input type="text" name="email" value="">
[% END %]

	  </td>
    </tr>
    [% FOREACH v = freecol_list %]
		[% IF v.coldisp && v.coltype != "hidden" %]
	    <tr>
	      <td bgcolor="#FFCC00">
		  [% v.colname|html %]
		  </td>
		  </tr>
		  <tr>
		  <td style="width:300px; background-color:#FFF; padding:0px;">
		  [% IF v.coltype == "text" %]
		  <input type="text" name="col[% v.num %]" value="[% v.coltext|html %]" size="100">
		  [% ELSIF v.coltype == "textarea" %]
		  <textarea name="col[% v.num %]" style="width:200px;height:100px;">[% v.coltext|html %]</textarea>
		  [% ELSIF v.coltype == "radio" %]
		  	[% FOREACH v2 = v.autodatalist %]
		  	<input type="radio" name="col[% v.num %]" value="[% v2.coltext|html %]">[% v2.coltext|html %]
		  	[% END %]
		  [% ELSIF v.coltype == "checkbox" %]
		  	[% FOREACH v2 = v.autodatalist %]
		  	<input type="checkbox" name="col[% v.num %]" value="[% v2.coltext|html %]">[% v2.coltext|html %]
		  	[% END %]
		  [% ELSIF v.coltype == "select" %]
		  	<select name="col[% v.num %]">
			<option value="">---
		  	[% FOREACH v2 = v.autodatalist %]
		  	<option value="[% v2.coltext|html %]">[% v2.coltext|html %]
		  	[% END %]
			</select>
		  [% END %]
		  </td>
	    </tr>
		
		[% ELSIF v.coltype == "hidden" %]
		<input type="hidden" name="col[% v.num %]" value="[% v.coltext|html %]">
		[% END %]
	[% END %]
	<tr><td align="center">
	

	[% IF doptdata.id %]
	  <input type="hidden" name="email" value="[% doptdata.email|html %]">
	  <input type="hidden" name="id" value="[% doptdata.id|html %]">
	  <input type="submit" value="登録" name="submit" style="margin-top:9px; margin-left:3px; _padding:1px 3px;">
	  <input type="hidden" name="mode" value="autoform"><input type="hidden" name="encode" value="文字コード">
	[% ELSE %]
	  
	  <input type="submit" value="登録" name="submit" style="margin-top:9px; margin-left:3px; _padding:1px 3px;">
	  <input type="hidden" name="reg" value="add"><input type="hidden" name="encode" value="文字コード">
	 [% END %]
	
	  <input type="hidden" name="checkbox_list" value="[% checkbox_list %]">
	  </td></tr>
    <tr>
</table>
<br>
</form>
</div>

[% INCLUDE 'tmpl/html_mobilefooter_nomenu.tmpl' %]