[su_icon icon="icon: check" background="#fcf9b8" color="#f9a736" shape_size="12" text_size="32" margin="0px 20px 0px 0px" target="self"]お名前[/su_icon]

[su_icon icon="icon: check" background="#fcf9b8" color="#f9a736" shape_size="12" text_size="32" margin="0px 20px 0px 0px" target="self"]フリガナ[/su_icon]

[su_icon icon="icon: check" background="#fcf9b8" color="#f9a736" shape_size="12" text_size="32" margin="0px 20px 0px 0px" target="self"]メールアドレス[/su_icon]

[su_icon icon="icon: check" background="#fcf9b8" color="#f9a736" shape_size="12" text_size="32" margin="0px 20px 0px 0px" target="self"]メールアドレス（確認用）[/su_icon]

[su_icon icon="icon: check" background="#fcf9b8" color="#f9a736" shape_size="12" text_size="32" margin="0px 20px 0px 0px" target="self"]お問い合わせ内容[/su_icon]