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method="POST" id="mG61Hd"><div class="freebirdFormviewerViewFormCard"><div class="freebirdFormviewerViewAccentBanner freebirdAccentBackground"></div><div class="freebirdFormviewerViewFormContent "><div class="freebirdFormviewerViewNoPadding"><div class="freebirdFormviewerViewHeaderHeader"><div class="freebirdFormviewerViewHeaderTitleRow"><div class="freebirdFormviewerViewHeaderTitle freebirdCustomFont" dir="auto" role="heading" aria-level="1">【預約試穿】專業造型師駐店服務</div></div><div jsname="F0H8Yc" class="freebirdCommonViewSecurequizSecureQuizBannerContainer"></div><div class="freebirdFormviewerViewHeaderRequiredLegend" aria-hidden="true" dir="auto">*必填</div></div></div><div class="freebirdFormviewerViewItemList" role="list"><div role="listitem" class="freebirdFormviewerViewItemsItemItem freebirdFormviewerViewItemsTextTextItem" jsname="ibnC6b" jscontroller="rDGJeb" jsaction="sPvj8e:e4JwSe,vwKRrd;" data-required="true" data-item-id="762363762"><div class="freebirdFormviewerViewItemsItemItemHeader"><div class="freebirdFormviewerViewItemsItemItemTitleContainer"><div class="freebirdFormviewerViewItemsItemItemTitle freebirdCustomFont" dir="auto" role="heading" aria-level="2" aria-describedby="i.desc.762363762 i3">請輸入姓名 <span class="freebirdFormviewerViewItemsItemRequiredAsterisk" aria-label="將這個問題設為必填">*</span></div><div class="freebirdFormviewerViewItemsItemItemHelpText" id="i.desc.762363762" dir="auto"></div></div></div><div class="freebirdFormviewerViewItemsTextItemWrapper"><div class="quantumWizTextinputPaperinputEl freebirdFormviewerViewItemsTextShortText freebirdThemedInput modeLight" jscontroller="pxq3x" jsaction="clickonly:KjsqPd; focus:Jt1EX; blur:fpfTEe; input:Lg5SV;" jsshadow="" jsname="W85ice"><div class="quantumWizTextinputPaperinputMainContent exportContent"><div class="quantumWizTextinputPaperinputContentArea exportContentArea"><div class="quantumWizTextinputPaperinputInputArea"><input type="text" 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role="alert"></div></div><div role="listitem" class="freebirdFormviewerViewItemsItemItem freebirdFormviewerViewItemsTextTextItem" jsname="ibnC6b" jscontroller="rDGJeb" jsaction="sPvj8e:e4JwSe,vwKRrd;" data-required="true" data-item-id="1232966441"><div class="freebirdFormviewerViewItemsItemItemHeader"><div class="freebirdFormviewerViewItemsItemItemTitleContainer"><div class="freebirdFormviewerViewItemsItemItemTitle freebirdCustomFont" dir="auto" role="heading" aria-level="2" aria-describedby="i.desc.1232966441 i6">請輸入聯絡電話 <span class="freebirdFormviewerViewItemsItemRequiredAsterisk" aria-label="將這個問題設為必填">*</span></div><div class="freebirdFormviewerViewItemsItemItemHelpText" id="i.desc.1232966441" dir="auto">造型師將於48小時內回電,與您安排到店服務時間 </div></div></div><div class="freebirdFormviewerViewItemsTextItemWrapper"><div class="quantumWizTextinputPaperinputEl freebirdFormviewerViewItemsTextShortText freebirdFormviewerViewItemsTextNumber freebirdThemedInput modeLight" jscontroller="pxq3x" jsaction="clickonly:KjsqPd; focus:Jt1EX; blur:fpfTEe; input:Lg5SV;" jsshadow="" jsname="W85ice"><div class="quantumWizTextinputPaperinputMainContent exportContent"><div class="quantumWizTextinputPaperinputContentArea exportContentArea"><div class="quantumWizTextinputPaperinputInputArea"><input type="text" class="quantumWizTextinputPaperinputInput exportInput" jsname="YPqjbf" autocomplete="off" tabindex="0" aria-label="請輸入聯絡電話" aria-describedby="i.desc.1232966441 i.err.1232966441" data-cke-saved-name="entry.537508190" name="entry.537508190" value="" required="" dir="auto" data-initial-dir="auto" data-initial-value=""><div jsname="LwH6nd" class="quantumWizTextinputPaperinputPlaceholder exportLabel">您的回答</div></div><div class="quantumWizTextinputPaperinputUnderline exportUnderline"></div><div jsname="XmnwAc" class="quantumWizTextinputPaperinputFocusUnderline exportFocusUnderline"></div></div></div><div class="quantumWizTextinputPaperinputCounterErrorHolder"><div jsname="ty6ygf" class="quantumWizTextinputPaperinputHint exportHint"></div></div></div></div><div class="freebirdFormviewerViewItemsItemGradingGradingBox freebirdFormviewerViewItemsItemGradingFeedbackBox" jsname="R7fTud"></div><div jsname="XbIQze" class="freebirdFormviewerViewItemsItemErrorMessage" id="i.err.1232966441" role="alert"></div></div><div role="listitem" class="freebirdFormviewerViewItemsItemItem" jsname="ibnC6b" jscontroller="pkFYWb" jsaction="sPvj8e:F0ZU4;" data-required="true" data-other-input="qSV85" data-other-hidden="MfYA1e" data-item-id="1010012275"><div class="freebirdFormviewerViewItemsItemItemHeader"><div class="freebirdFormviewerViewItemsItemItemTitleContainer"><div class="freebirdFormviewerViewItemsItemItemTitle freebirdCustomFont" dir="auto" id="i7" role="heading" aria-level="2" aria-describedby="i.desc.1010012275 i10">選擇預約門市(若急需請撥打門市電話) <span class="freebirdFormviewerViewItemsItemRequiredAsterisk" aria-label="將這個問題設為必填">*</span></div><div class="freebirdFormviewerViewItemsItemItemHelpText" id="i.desc.1010012275" dir="auto"></div></div></div><div jscontroller="eFy6Rc" jsaction="sPvj8e:Gh295d" jsname="cnAzRb" data-input="L9xHkb"><div jscontroller="wPRNsd" jsshadow="" jsaction="keydown: I481le;JIbuQc:JIbuQc;rcuQ6b:rcuQ6b" jsname="wCJL8" aria-labelledby="i7" aria-describedby="i.desc.1010012275 i.err.1010012275" aria-required="true" role="radiogroup"><content role="presentation" jsname="bN97Pc"><div class=""><label class="docssharedWizToggleLabeledContainer freebirdFormviewerViewItemsRadioChoice"><div class="exportLabelWrapper"><div class="quantumWizTogglePaperradioEl docssharedWizToggleLabeledControl freebirdThemedRadio freebirdThemedRadioDarkerDisabled freebirdFormviewerViewItemsRadioControl" jscontroller="EcW08c" jsaction="click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseleave:JywGue; touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventMouseEvents=true|preventDefault=true); touchcancel:JMtRjd; focus:AHmuwe; blur:O22p3e; keydown:I481le; contextmenu:mg9Pef" jsshadow="" aria-label="敦南門市(02)-8773-3530 北市敦化南路一段161巷64號 (捷運忠孝敦化站)" tabindex="0" data-value="敦南門市(02)-8773-3530 北市敦化南路一段161巷64號 (捷運忠孝敦化站)" aria-describedby=" i11" role="radio" aria-checked="false" aria-posinset="1" aria-setsize="3"><div class="quantumWizTogglePaperradioInk exportInk"></div><div class="quantumWizTogglePaperradioInnerBox"></div><div class="quantumWizTogglePaperradioRadioContainer"><div class="quantumWizTogglePaperradioOffRadio exportOuterCircle"><div class="quantumWizTogglePaperradioOnRadio exportInnerCircle"></div></div></div></div><div class="docssharedWizToggleLabeledContent"><div class="docssharedWizToggleLabeledPrimaryText"><span dir="auto" class="docssharedWizToggleLabeledLabelText exportLabel freebirdFormviewerViewItemsRadioLabel">敦南門市(02)-8773-3530 北市敦化南路一段161巷64號 (捷運忠孝敦化站)</span></div></div></div></label><label class="docssharedWizToggleLabeledContainer freebirdFormviewerViewItemsRadioChoice"><div class="exportLabelWrapper"><div class="quantumWizTogglePaperradioEl docssharedWizToggleLabeledControl freebirdThemedRadio freebirdThemedRadioDarkerDisabled freebirdFormviewerViewItemsRadioControl" jscontroller="EcW08c" jsaction="click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseleave:JywGue; touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventMouseEvents=true|preventDefault=true); touchcancel:JMtRjd; focus:AHmuwe; blur:O22p3e; keydown:I481le; contextmenu:mg9Pef" jsshadow="" aria-label="中山門市/附設西服訂製服務 (02)-2567-7076 北市中山北路一段131號 (捷運中山站)" tabindex="-1" data-value="中山門市/附設西服訂製服務 (02)-2567-7076 北市中山北路一段131號 (捷運中山站)" aria-describedby=" i14" role="radio" aria-checked="false" aria-posinset="2" aria-setsize="3"><div class="quantumWizTogglePaperradioInk exportInk"></div><div class="quantumWizTogglePaperradioInnerBox"></div><div class="quantumWizTogglePaperradioRadioContainer"><div class="quantumWizTogglePaperradioOffRadio exportOuterCircle"><div class="quantumWizTogglePaperradioOnRadio exportInnerCircle"></div></div></div></div><div class="docssharedWizToggleLabeledContent"><div class="docssharedWizToggleLabeledPrimaryText"><span dir="auto" class="docssharedWizToggleLabeledLabelText exportLabel freebirdFormviewerViewItemsRadioLabel">中山門市/附設西服訂製服務 (02)-2567-7076 北市中山北路一段131號 (捷運中山站)</span></div></div></div></label><label class="docssharedWizToggleLabeledContainer freebirdFormviewerViewItemsRadioChoice"><div class="exportLabelWrapper"><div class="quantumWizTogglePaperradioEl docssharedWizToggleLabeledControl freebirdThemedRadio freebirdThemedRadioDarkerDisabled freebirdFormviewerViewItemsRadioControl" jscontroller="EcW08c" jsaction="click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseleave:JywGue; touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventMouseEvents=true|preventDefault=true); touchcancel:JMtRjd; focus:AHmuwe; blur:O22p3e; keydown:I481le; contextmenu:mg9Pef" jsshadow="" aria-label="板橋門市/附設西服租借服務 (02)-8951-3008 板橋區館前東路100號 (捷運府中站)" tabindex="0" data-value="板橋門市/附設西服租借服務 (02)-8951-3008 板橋區館前東路100號 (捷運府中站)" aria-describedby=" i17" role="radio" aria-checked="false" aria-posinset="3" aria-setsize="3"><div class="quantumWizTogglePaperradioInk exportInk"></div><div class="quantumWizTogglePaperradioInnerBox"></div><div class="quantumWizTogglePaperradioRadioContainer"><div class="quantumWizTogglePaperradioOffRadio exportOuterCircle"><div class="quantumWizTogglePaperradioOnRadio exportInnerCircle"></div></div></div></div><div class="docssharedWizToggleLabeledContent"><div class="docssharedWizToggleLabeledPrimaryText"><span dir="auto" class="docssharedWizToggleLabeledLabelText exportLabel freebirdFormviewerViewItemsRadioLabel">板橋門市/附設西服租借服務 (02)-8951-3008 板橋區館前東路100號 (捷運府中站)</span></div></div></div></label></div></content></div><input type="hidden" data-cke-saved-name="entry.1592712183" name="entry.1592712183" jsname="L9xHkb" disabled=""></div><div class="freebirdFormviewerViewItemsItemGradingGradingBox 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jsaction="clickonly:KjsqPd; focus:Jt1EX; blur:fpfTEe; input:Lg5SV;" jsshadow="" jsname="W85ice"><div class="quantumWizTextinputPaperinputMainContent exportContent"><div class="quantumWizTextinputPaperinputContentArea exportContentArea"><div class="quantumWizTextinputPaperinputInputArea"><input type="text" class="quantumWizTextinputPaperinputInput exportInput" jsname="YPqjbf" autocomplete="off" tabindex="0" aria-label="備註 (可填寫使用的場合、想要預約的時間、特殊需求)" aria-describedby="i.desc.1793697439 i.err.1793697439" data-cke-saved-name="entry.562652479" name="entry.562652479" value="" dir="auto" data-initial-dir="auto" data-initial-value=""><div jsname="LwH6nd" class="quantumWizTextinputPaperinputPlaceholder exportLabel">您的回答</div></div><div class="quantumWizTextinputPaperinputUnderline exportUnderline"></div><div jsname="XmnwAc" class="quantumWizTextinputPaperinputFocusUnderline exportFocusUnderline"></div></div></div><div class="quantumWizTextinputPaperinputCounterErrorHolder"><div jsname="ty6ygf" 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mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventMouseEvents=true|preventDefault=true); touchcancel:JMtRjd;focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;" jsshadow="" jsname="M2UYVd" aria-disabled="false" tabindex="0"><div class="quantumWizButtonPaperbuttonRipple exportInk" jsname="ksKsZd"></div><div class="quantumWizButtonPaperbuttonFocusOverlay exportOverlay"></div><content class="quantumWizButtonPaperbuttonContent"><span class="quantumWizButtonPaperbuttonLabel exportLabel">提交</span></content></div></div></div><div class="freebirdFormviewerViewNavigationPasswordWarning">請勿利用 Google 表單送出密碼。</div></div><input type="hidden" data-cke-saved-name="fvv" name="fvv" value="1"><input type="hidden" data-cke-saved-name="draftResponse" name="draftResponse" value="[null,null,"-1769531347097884981"] "><input type="hidden" data-cke-saved-name="pageHistory" name="pageHistory" value="0"><input type="hidden" 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