#set($title = "退会手続き画面")
<!-- preHeader -->
#parse( "/WEB-INF/view/common/preHeader_sp.vm" )

<body>
<div data-role="page" id="withDraw" data-theme="f">

<!--ヘッダー-->
#parse( "/WEB-INF/view/common/header_sp.vm" )

#set($withdraw-url = $tools.getSecureUrl('/user/withDraw/withDrawConfirm/'))
<form action="$!withdraw-url" method="post" data-ajax="false">
<!--コンテンツ-->
<div class="category" data-role="content" data-theme="d">
	<h2>退会手続き</h2>

   	<h3>eモニ会員退会方法</h3>
	<p>eモニ会員を退会するには下記の退会理由を選んで送信ボタンを押してください。 </p>

	<div class="bg_blue">

		<div data-role="fieldcontain">
		<fieldset data-role="controlgroup">
		<legend><span class="area_title">配信退会を希望する理由</span></legend>

		#foreach( $checkBoxComment in [0..2])
			#if($!withDrawForm.withDrowReasonBoxes.contains($velocityCount.toString()))
				#set($cheched ="checked")
			#end

			#set($msgKey ="withDraw.checkBoxComment"+"$velocityCount")
			#set($checkboxId ="withDrowReasonBoxes"+"$velocityCount")
		   	<input type="checkbox" id=$checkboxId name="withDrowReasonBoxes" value="$velocityCount" $!cheched>
		   	<label for=$checkboxId>$!text.get($msgKey)</label>
		   	#set($cheched ="")
		#end

		</fieldset>
		</div>

		<div class="dot_line02"></div>

		<div data-role="fieldcontain">
		<label for="reasonMsg" class="area_title">今後の参考にさせていただきますのでよろしければいたらなかった点をお教えください</label>
		<textarea id="reasonMsg" name="reasonMsg">$!withDrawForm.reasonMsg</textarea>
		</div>
	</div>
	<p><input value="会員退会" type="submit"></p>
</div>
</form>

<!--フッター-->
#parse( "/WEB-INF/view/common/footer_sp.vm" )
</div>

</body>
</html>