JP4558863B2 - Contact form - Google Patents

Description

[0001]
BACKGROUND OF THE INVENTION
The present invention relates to a contact form that is optimal for mail order order postcards.
[0002]
[Prior art]
In mail order sales, for example, when the payment for the ordered product is withdrawn from the credit card, the order postcard contains the card information such as the credit card number, card company, expiration date, etc. in addition to the ordered product. Filled in. This card information is read by an optical reader and processed by a computer.
[0003]
[Problems to be solved by the invention]
By the way, the conventional order postcard has an information entry field with an entry guidance display such as a "credit card number entry field" so that the orderer can easily enter the required card information according to a predetermined format. The card information is directly entered in the information entry field. For this reason, the card information written on the postcard can be easily viewed in the mailing process after posting, the card information is likely to be leaked, and misused by a third party, possibly causing serious damage.
[0004]
In order to conceal this card information, there is also means for covering the information entry column with a pseudo-adhesive label, a re-peeling label, a weak adhesive label, or the like. However, this means that the orderer must put a label in the information entry field, and it takes time and effort to remove the label after the order postcard arrives at the mail order company. There is a problem that optical reading becomes difficult when the label residue is attached on the card information.
[0005]
The present invention relates to a contact form having a configuration capable of easily concealing information such as card information that is not desired to be known to a third party in a mailing process.
[0006]
[Means for Solving the Problems]
The present invention provides a transmission sheet having a size of approximately a postcard on which a secret information copy field that is optically read is printed, and a mount that is partitioned by a perforation so as to be substantially detachable;
An entry sheet that is joined to one side edge of the mount and disposed on the transmission sheet and printed with an information entry field that matches the confidential information copy field. Print the entry guidance display only in the information entry column without printing the display, and copy the required information entered in the information entry column of the entry sheet according to the entry guidance display in the confidential information copy column of the transmission sheet. It is a contact form characterized by that.
[0007]
In this configuration, when information to be concealed such as a credit card number is entered in the information entry field of the entry sheet, the information is copied and entered in the secret information copy field of the transmission sheet. After this entry, the entry sheet is removed from the transmission sheet. Here, since the entry guidance display is not printed in the confidential information copy column of the transmission sheet, the information such as the numbers written in the confidential information copy column after the posting of the transmission sheet is It is impossible to understand what it means, so the required confidentiality can be maintained.
[0008]
Further, in order to further enhance the confidentiality of the confidential information copy column, the information content of the confidential information copy column may be displayed through an encryption means that is difficult to read.
[0009]
As this encryption means, a plurality of numerical marking areas corresponding to predetermined numerical values are provided corresponding to the descriptive numerals, and the descriptive numerals are expressed by an integrated value of the predetermined numerical values in the marked numerical marking areas. Is proposed as a preferred embodiment.
[0010]
That is, for example, this encryption means provides a plurality of numerical marking areas corresponding to predetermined numerical values such as “1”, “2”, “4”, “8”, etc. for each descriptive numeral, and credit card numbers, etc. If each number constituting the number is a predetermined numerical value of “1”, “2”, “4”, “8”, the numerical marking area is marked as it is, and if it is a numerical value other than the predetermined numerical value, for example, “3” Mark the numerical marking areas of “1” and “2”, and if “7”, mark the numerical marking areas of “1”, “2” and “4” Make it appear. The entry guidance display showing these entry points is printed only on the entry sheet, and marking can be easily entered in accordance with this, and depending on the marking copied in the confidential information copy field of the transmission sheet, the meaning of the entry contents I can not know. Therefore, it has high confidentiality.
[0011]
DETAILED DESCRIPTION OF THE INVENTION
A first embodiment of a contact form according to the present invention will be described below with reference to FIGS. As shown in FIG. 1, the contact form 1 is disposed on the transmission sheet 2 by being bonded to a mount 3 constituting the transmission sheet 2 and one side edge of the mount 3 via an adhesive layer 4. It consists of an entry sheet 5. As shown in FIG. 2, a single sheet or a plurality of transmission sheets 2 are formed in a substantially postcard size by a perforation 6 on the mount 3, and the transmission sheet 2 is separated by separating the perforations 6. It can be used as a postcard.
[0012]
A secret information copy column 7 which is read by the optical reader is printed at a predetermined position on the front surface (the back side of the postcard) of the transmission sheet 2 together with an orderer's name entry column and an order product entry column (not shown). As shown in FIG. 3B, the secret information copy column 7 is composed of a plurality of rectangular frames 8 arranged in a line at equal intervals. In each rectangular frame 8, a number as read information is set. It can be filled in by copying character by character. Here, the confidential information copy column 7 is composed of only a plurality of rectangular frames 8 without any division for each of “card company”, “expiration date”, “card number”, etc., which will be described later. , “Expiration date”, “Card number”, etc. Item name and entry guidance display such as entry method are not printed at all. Further, a spot carbon layer formed by partially applying carbon suitable for reading by an optical reader on the back surface of the entry sheet 5 facing the front surface of the transmission sheet 2 at a position corresponding to the confidential information copy column 7. 9 is formed.
[0013]
On the other hand, on the surface of the entry sheet 5, as shown in FIG. 3A, an information entry column 10 that matches the confidential information copy column 7 is printed. That is, the information entry field 10 is composed of a plurality of rectangular frames 11 having the same configuration as the rectangular frame 8, and each rectangular frame 11 is provided at a position where it vertically coincides with the corresponding rectangular frame 8. Further, on the side of the plurality of rectangular frames 11, an item name 12 a such as “card company”, “expiration date”, “card number”, and an entry guidance display 13 such as an entry method 12 b are printed. Here, the card companies are assigned to the first two rectangular frames 11, and each card company is digitized and entered into a two-digit number. The expiration date is assigned to the next four rectangular frames 11, and the year and month when the expiration date of the card expires are sequentially entered with two-digit numbers. A card number is assigned to each rectangular frame 11 from the seventh to the end, and numbers representing the card numbers are sequentially written in these rectangular frames 11.
[0014]
In such a configuration, with the entry sheet 5 superimposed on the transmission sheet 2, the numbers of the card company, the expiration date, and the card number by the above combination are displayed in each rectangular frame 11 of the information entry column 10. When handwritten, the carbon of the spot carbon layer 9 formed on the back surface of the entry sheet 5 is transferred to the secret information copy column 7 of the opposing transmission sheet 2 and each rectangular frame 8 of the secret information copy column 7 is transferred. The number is copied and entered in the box. After this entry, the entry sheet 5 is removed from the transmission sheet 2. Actually, the transmission sheet 2 is separated at the perforation 6 and separated from the mount 3 as a postcard, but the entry sheet 5 is removed from the transmission sheet 2 by separating the transmission sheet 2 from the mount 3 in this way. It becomes.
[0015]
Since the entry guidance display 13 in the entry sheet 5 is not printed in the confidential information copy field 7 of the transmission sheet 2 after the posting of the transmission sheet 2, as shown in FIG. 4, the confidential information copy field The numbers described in each rectangular frame 8 of FIG. 7 are recognized as just a series of numbers for a third party and cannot be understood as card information such as a credit card number, so that the required confidentiality can be maintained. .
[0016]
In the above-described embodiment, the card company, the expiration date, and the card number are assigned in order from the top rectangular frame 11, but these assignment orders can be freely set. In addition, the card number may be entered in reverse from the last rectangular frame 11, and in this way, the meaning of the numbers described in each rectangular frame 8 of the confidential information copy field 7 becomes more unknown, Furthermore, high confidentiality can be maintained.
[0017]
5 and 6 show a second embodiment. In this embodiment, in order to further enhance the secrecy of the secret information copy column 7, an encryption means that makes it difficult to read the information content of the secret information copy column 7 is shown. It is made to display via.
[0018]
This encryption means provides a plurality of numerical marking areas 14 corresponding to predetermined numerical values in the secret information copy field 7 corresponding to the descriptive numerals, and the descriptive numerals are obtained by integrating the predetermined numerical values in the marked numerical marking areas 14. Is intended to be expressed.
[0019]
That is, in this encryption means, on the surface of the entry sheet 5, as shown in FIG. 5A, a plurality of auxiliary entry areas 15 for entering each number of credit card numbers one by one are arranged in the horizontal direction. In addition, a plurality of numerical marking areas 16 corresponding to predetermined numerical values such as “1”, “2”, “4”, “8”, and the like are arranged in the vertical direction below each auxiliary entry area 15. The encrypted information entry field 10 is constituted by a plurality of numerical marking areas 16 provided for each auxiliary entry area 15. This information entry column 10 includes a column name 12c entitled "Card Number Mark Column", a marking entry method 12b entitled "Card Number Mark Example", and each numerical marking area 16 An entry guidance display 13 made up of numbers such as “1, 2, 4, 8” attached to is printed.
[0020]
Further, an information entry field 10 ′ that is not encrypted is arranged at the side of the information entry field 10. The information entry column 10 'is configured by arranging two rectangular frames 11 in the same manner as in the first embodiment. In each pair of rectangular frames 11, "card company", "expiration date", "number of payments" Etc. are entered in two-digit numbers. Further, on the side of the rectangular frame 11, as in the first embodiment, an item name 12 a such as “card company” and “expiration date” and an entry guidance display 13 such as an entry method 12 b are printed. .
[0021]
On the other hand, as shown in FIG. 5B, a secret information copy column 7 composed of a plurality of numerical marking areas 14 having the same configuration as the numerical marking area 16 is printed on the surface of the transmission sheet 2. 14 and the numerical marking area 16 are arranged in a positional relationship that coincides vertically. Further, on the side of the secret information copy column 7, a secret information copy column 7 ′ comprising a rectangular frame 8 having the same configuration as the rectangular frame 11 is arranged. In the rectangular frame 8 of the confidential information copy column 7 ′, the numbers entered in the rectangular frame 11 of the information entry column 10 ′ are copied and entered.
[0022]
Next, the marking method of this encryption means will be described. In the state where the entry sheet 5 is superimposed on the transmission sheet 2, first, as shown in the “card number mark example” in FIG. Fill in one by one. Thus, the subsequent marking operation is facilitated by entering the credit card number in the auxiliary entry area 15. Next, for each descriptive numeral entered in the auxiliary entry area 15, the numerical marking area 16 below is marked. Here, when the descriptive number is a predetermined numerical value of “1”, “2”, “4”, “8”, the numerical marking area 16 is marked as it is, and a numerical value other than the predetermined numerical value, for example, “3” Is marked with a numerical marking area 16 of “1” and “2”, and in the case of “7”, the numerical marking area 16 of “1”, “2” and “4” is marked, and “0” is marked In some cases, no marking is made and the numerical value is expressed by the integrated value.
[0023]
Then, by marking the predetermined numerical marking area 16 as described above, the secret information copy column 7 of the opposing transmission sheet 2 is copied via the copying action of the spot carbon layer 9 formed on the back surface of the entry sheet 5. The marking is copied and entered in the numerical marking area 14 constituting the. If the entry sheet 5 is removed from the transmission sheet 2 after this entry, the entry guidance display 13 is not printed on the transmission sheet 2, so that it is copied and entered in the confidential information copy field 7 of the transmission sheet 2 as shown in FIG. Depending on the marking, the meaning of the contents cannot be obtained. Therefore, it has high confidentiality.
[0024]
In this embodiment, the marking form is the integrated marking method of “1”, “2”, “4”, “8”, but instead of this, “1”, “2”, “4”, A cumulative marking method of “7” may be used. Further, a marking method in which ten marking areas “0” to “9” are provided may be used, but the integrated marking method as in the embodiment is advantageous in terms of space saving and difficulty in understanding. Further, in the embodiment, the case where only the credit card number is encrypted by the cumulative marking method has been described. However, other card information, such as a card company and an expiration date, can be similarly encrypted.
[0025]
Also, in the embodiment, the spot carbon layer 9 with carbon applied to the back surface of the entry sheet 5 is used to obtain a copying action for the confidential information copy column 7 of the transmission sheet 2. A color developer layer is formed in the column 7 and a color developer layer is formed on the back surface of the entry sheet 5 facing the secret information copy column 7, and the color is developed on the color developer layer by pressure transfer of the color developer layer. Copying means for generating the above may be used.
[0026]
【The invention's effect】
As described above, the present invention arranges an entry sheet having an information entry field that coincides with the confidential information copy field on a transmission sheet provided with an optically read confidential information copy field, and also provides confidential information copying. The entry guidance display is not printed in the field, the entry guidance display is printed only in the information entry field, and the required information to be entered in the information entry field of the entry sheet in accordance with the entry guidance display, the confidential information copy field of the transmission sheet The information entered in the confidential information copy field cannot be understood by the third party by removing the entry sheet from the transmission sheet after this entry. Thereby, required confidentiality can be maintained. And since the information in the confidential information copy column can be read as it is by an optical reader, it does not take time and effort to put and remove the label as compared with the conventional means for covering the written information with the label. Since the label residue does not adhere, optical reading can be performed smoothly.
[0027]
Further, if the information content of the secret information copy column is displayed through an encryption means that is difficult to read, there is an excellent effect that the confidentiality of the secret information copy column can be further enhanced.
[Brief description of the drawings]
FIG. 1 is a longitudinal sectional view of a contact form according to a first embodiment of the present invention.
FIG. 2 is a plan view of the developed contact form of the above.
FIG. 3 is an explanatory diagram showing a configuration of an information entry field of an entry sheet and a secret information copy field of a transmission sheet of the contact form same as above.
FIG. 4 is a plan view of a transmission sheet showing a state in which information is written in a secret information copy column.
FIG. 5 is an explanatory diagram showing a configuration of an information entry field of an entry sheet and a secret information copy field of a transmission sheet of a contact form according to the second embodiment.
FIG. 6 is a plan view of a transmission sheet showing a state in which information is described in the confidential information copy column.
[Explanation of symbols]
1 Contact form 2 Transmission sheet 5 Entry sheet 7 Confidential information copy column 10 Information entry column 13 Entry guidance display 16 Numerical marking area

Claims (3)

A board having a postcard-sized transmission sheet on which an optically read secret information copy field is printed, and a mount that is partitioned by a perforation and is substantially separable;
An entry sheet that is joined to one side edge of the mount and disposed on the transmission sheet and printed with an information entry field that matches the confidential information copy field. Print the entry guidance display only in the information entry column without printing the display, and copy the required information entered in the information entry column of the entry sheet according to the entry guidance display in the confidential information copy column of the transmission sheet. A contact form characterized by that.   2. The contact form according to claim 1, wherein the information content in the secret information copy column is displayed through encryption means that is difficult to read.   The encryption means is provided with a plurality of numerical marking areas corresponding to the predetermined numerical values corresponding to the descriptive numerals, and the descriptive numerals are expressed by an integrated value of the predetermined numerical values in the marked numerical marking areas. The contact form according to claim 2, wherein:

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