*
Name
-
(first)
(last)
*
Address
Request
Divition
Consultations/Others
Request for amelioration
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E-mail
Telephone
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Reciplent
General Manager
Duty Manager
Business Manager
Comments
<table width="650" border="0" cellspacing="1" cellpadding="0" align="center" bgcolor="F7EFDE"> <tr bgcolor="EAE2CD"> <td colspan="2" height="3"></td> </tr> <tr> <td width="103" height="35" bgcolor="F8F2E6" rowspan="2"> <div align="right"><b>이름</b></div> </td> <td width="547" height="34"> <b><img src="/en/img/spacer.gif" width="5" height="10"></b> ##이름## </td> </tr> <tr> <td width="547" background="/en/img/board_bar_07.gif" height="1"></td> </tr> <tr> <td width="103" height="35" bgcolor="F8F2E6"> <div align="right"><b>주소</b></div> </td> <td width="547"> <b><img src="/en/img/spacer.gif" width="5" height="10"></b> ##주소## </td> </tr> <tr> <td width="103" height="35" rowspan="2" bgcolor="F8F2E6"> <div align="right"><b>요구사항분류</b></div> </td> <td width="547" height="34"> <b><img src="/en/img/spacer.gif" width="5" height="10"></b> ##요구사항## </td> </tr> <tr> <td width="547" background="/img/board_bar_07.gif" height="1"></td> </tr> <tr> <td width="103" height="35" rowspan="2" bgcolor="F8F2E6"> <div align="right"><b>E-mail 주소</b></div> </td> <td width="547" height="34"> <b><img src="/en/img/spacer.gif" width="5" height="10"></b> ##이메일## </td> </tr> <tr> <td width="547" height="1" background="/en/img/board_bar_07.gif"></td> </tr> <tr> <td width="103" height="35" rowspan="2" bgcolor="F8F2E6"> <div align="right"><b>전화번호</b></div> </td> <td width="547" height="34"> <b><img src="/en/img/spacer.gif" width="5" height="10"></b> ##전화번호## </td> </tr> <tr> <td width="547" background="/en/img/board_bar_07.gif" height="1"></td> </tr> <tr> <td width="103" height="35" rowspan="3" bgcolor="F8F2E6"> <div align="right"><b>핸드폰번호</b></div> </td> <td width="547" height="34"> <b><img src="/en/img/spacer.gif" width="5" height="10"></b> ##핸드폰## </td> </tr> <tr> <td width="547" height="1" background="/en/img/board_bar_07.gif"></td> </tr> </table> <table width="650" border="0" cellspacing="1" cellpadding="0" align="center" bgcolor="F7EFDE"> <tr> <td width="103" height="35" bgcolor="F8F2E6" rowspan="2"> <div align="right"><b>이용일자</b></div> </td> <td width="547" height="34"><b><img src="/en/img/spacer.gif" width="5" height="10"></b> ##이용일자##</td> </tr> <tr> <td width="547" background="/img/board_bar_07.gif" height="1"></td> </tr> <tr> <td width="103" height="35" bgcolor="F8F2E6"> <div align="right"><b>제안/문의</b></div> </td> <td width="547"> <b><img src="/en/img/spacer.gif" width="5" height="10"></b> ##내용## </td> </tr> <tr bgcolor="EAE2CD"> <td colspan="2" height="3"></td> </tr> </table>
