document.write('<script type=\"text/javascript\" src=\"https://assets.bravenet.com/bn/js/emailfwd/bn_email_forms.min.js\"></script><link rel=\"stylesheet\" href=\"https://pub13.bravenet.com/emailfwd/v2/bnet-form.css.php?usernum=1041286426&formid=4121&formpadding=0\"><form method=\"post\" class=\"bnet-form\" enctype=\"multipart/form-data\" action=\"#bn-ajax-post:1041286426:13:4121\"><div class=\"bn-form-header\"><div class=\"bn-form-legend\"><div>無料体験・お申し込み　ポジティブ英会話</div></div> <div class=\"bn-form-desc\"><p>無料体験またはお申し込みの方、いつでもご参加できます。今すぐお申し込みください！</p></div></div><div class=\"fields-wrapper ui-sortable-handle\"><label class=\"bn-row\"><span class=\"bn-label\">名前（漢字） <span class=\"bn-required\">*</span></span> <span class=\"bn-input\"><input type=\"text\" name=\"Field-1\" placeholder=\"苗字・名前\" validator=\"\" required=\"required\" value=\"\"></span></label></div><div class=\"fields-wrapper ui-sortable-handle\"><label class=\"bn-row\"><span class=\"bn-label\">名前（カタカナ） <span class=\"bn-required\">*</span></span> <span class=\"bn-input\"><input type=\"text\" name=\"Field-172352674236564\" placeholder=\"苗字・名前\" validator=\"\" required=\"required\" value=\"\"></span></label></div><div class=\"fields-wrapper ui-sortable-handle\"><label class=\"bn-row\"><span class=\"bn-label\">Eメールアドレス <span class=\"bn-required\">*</span></span> <span class=\"bn-input\"><input type=\"text\" name=\"Field-2\" placeholder=\"Eメールアドレス\" validator=\"email\" required=\"required\" value=\"\"></span></label></div><div class=\"fields-wrapper ui-sortable-handle\"><label class=\"bn-row\"><span class=\"bn-label\">Eメールアドレス（確認のため） <span class=\"bn-required\">*</span></span> <span class=\"bn-input\"><input type=\"text\" name=\"Field-172352703032629\" placeholder=\"Eメールアドレシす\" validator=\"\" required=\"required\" value=\"\"></span></label></div><div class=\"fields-wrapper ui-sortable-handle\"><label class=\"bn-row\"><span class=\"bn-label\">電話番号 </span> <span class=\"bn-input\"><input type=\"text\" name=\"Field-172352705235378\" placeholder=\"電話番号\" validator=\"\" value=\"\"></span></label></div><div class=\"fields-wrapper ui-sortable-handle\"><div class=\"bn-row rowcb\"><span class=\"bn-label\">以下の項目をご選択ください（複数可能） <span class=\"bn-required\">*</span></span> <span class=\"bn-input\"><span class=\"bn-optionwrapper\"><label class=\"bn-checkbox\"><input type=\"checkbox\" name=\"Field-172352689536825[]\" value=\"無料体験　月曜日　20:30-21:30\" required=\"required\"> <span class=\"bn-inner-label\">無料体験　月曜日　20:30-21:30</span></label></span><span class=\"bn-optionwrapper\"><label class=\"bn-checkbox\"><input type=\"checkbox\" name=\"Field-172352689536825[]\" value=\"無料体験　木曜日　20:30-21:30\" required=\"required\"> <span class=\"bn-inner-label\">無料体験　木曜日　20:30-21:30</span></label></span><span class=\"bn-optionwrapper\"><label class=\"bn-checkbox\"><input type=\"checkbox\" name=\"Field-172352689536825[]\" value=\"これから開催予定のクラスについてもっと知りたい\" required=\"required\"> <span class=\"bn-inner-label\">これから開催予定のクラスについてもっと知りたい</span></label></span><span class=\"bn-optionwrapper\"><label class=\"bn-checkbox\"><input type=\"checkbox\" name=\"Field-172352689536825[]\" value=\"申し込みを希望\" required=\"required\"> <span class=\"bn-inner-label\">申し込みを希望</span></label></span><span class=\"bn-optionwrapper\"><label class=\"bn-checkbox\"><input type=\"checkbox\" name=\"Field-172352689536825[]\" value=\"セブンシーズ英会話についてもう少し詳しく聞きたい\" required=\"required\"> <span class=\"bn-inner-label\">セブンシーズ英会話についてもう少し詳しく聞きたい</span></label></span><span class=\"bn-optionwrapper\"><label class=\"bn-checkbox\"><input type=\"checkbox\" name=\"Field-172352689536825[]\" value=\"他\" required=\"required\"> <span class=\"bn-inner-label\">他</span></label></span></span></div></div><div class=\"fields-wrapper ui-sortable-handle\"><div class=\"bn-row rowcb\"><span class=\"bn-label\">2025年3月から参加検討中・可能なクラス（複数お選びください） <span class=\"bn-required\">*</span></span> <span class=\"bn-input\"><span class=\"bn-optionwrapper\"><label class=\"bn-checkbox\"><input type=\"checkbox\" name=\"Field-172459415548172[]\" value=\"月曜日 初級1レベル 19:00 ~ 20:00\" required=\"required\"> <span class=\"bn-inner-label\">月曜日 初級1レベル 19:00 ~ 20:00</span></label></span><span class=\"bn-optionwrapper\"><label class=\"bn-checkbox\"><input type=\"checkbox\" name=\"Field-172459415548172[]\" value=\"火曜日 初級1レベル 14:30 ~ 15:30\" required=\"required\"> <span class=\"bn-inner-label\">火曜日 初級1レベル 14:30 ~ 15:30</span></label></span><span class=\"bn-optionwrapper\"><label class=\"bn-checkbox\"><input type=\"checkbox\" name=\"Field-172459415548172[]\" value=\"火曜日 初級1レベル 16:00 ~ 17:00\" required=\"required\"> <span class=\"bn-inner-label\">火曜日 初級1レベル 16:00 ~ 17:00</span></label></span><span class=\"bn-optionwrapper\"><label class=\"bn-checkbox\"><input type=\"checkbox\" name=\"Field-172459415548172[]\" value=\"火曜日 初級1レベル 18:30 ~ 19:30\" required=\"required\"> <span class=\"bn-inner-label\">火曜日 初級1レベル 18:30 ~ 19:30</span></label></span><span class=\"bn-optionwrapper\"><label class=\"bn-checkbox\"><input type=\"checkbox\" name=\"Field-172459415548172[]\" value=\"木曜日 初級1レベル  10:30 ~ 11:30\" required=\"required\"> <span class=\"bn-inner-label\">木曜日 初級1レベル  10:30 ~ 11:30</span></label></span><span class=\"bn-optionwrapper\"><label class=\"bn-checkbox\"><input type=\"checkbox\" name=\"Field-172459415548172[]\" value=\"木曜日 初級1レベル  19:00 ~ 20:00\" required=\"required\"> <span class=\"bn-inner-label\">木曜日 初級1レベル  19:00 ~ 20:00</span></label></span><span class=\"bn-optionwrapper\"><label class=\"bn-checkbox\"><input type=\"checkbox\" name=\"Field-172459415548172[]\" value=\"今は特に希望なし・いずれ検討\" required=\"required\"> <span class=\"bn-inner-label\">今は特に希望なし・いずれ検討</span></label></span></span></div></div><div class=\"fields-wrapper ui-sortable-handle\"><div class=\"bn-row rowcb\"><span class=\"bn-label\">現在進行中のクラス（初級を2年以上参加している方が受講；途中参加可能） <span class=\"bn-required\">*</span></span> <span class=\"bn-input\"><span class=\"bn-optionwrapper\"><label class=\"bn-checkbox\"><input type=\"checkbox\" name=\"Field-172459429912321[]\" value=\"月曜日　初級2レベル　20:30 ~ 21:30 \" required=\"required\"> <span class=\"bn-inner-label\">月曜日　初級2レベル　20:30 ~ 21:30 </span></label></span><span class=\"bn-optionwrapper\"><label class=\"bn-checkbox\"><input type=\"checkbox\" name=\"Field-172459429912321[]\" value=\"木曜日　初級2レベル　20:30 ~ 21:30\" required=\"required\"> <span class=\"bn-inner-label\">木曜日　初級2レベル　20:30 ~ 21:30</span></label></span><span class=\"bn-optionwrapper\"><label class=\"bn-checkbox\"><input type=\"checkbox\" name=\"Field-172459429912321[]\" value=\"今は特に希望なし・いずれ参加検討\" required=\"required\"> <span class=\"bn-inner-label\">今は特に希望なし・いずれ参加検討</span></label></span></span></div></div><div class=\"fields-wrapper ui-sortable-handle\"><label class=\"bn-row\"><span class=\"bn-label\">ご質問・お問い合わせ </span> <span class=\"bn-input\"><textarea name=\"Field-3\" placeholder=\"ご質問・お問い合わせ\" 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