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[null,"　　　新規　　　・　　　更新　　（前回有効期限　　　　年　　　　月まで）"]
[null,"申込年月日",null,"　　　　年　　　月　　　日",null,null,"有効期限",null,"　　　　　年　　　月まで"]
[null,"お名前","(ﾌﾘｶﾞﾅ)",null,null,null,"電話","(自宅)"]
[{"$nulls":7},"(携帯)"]
[null,"ご住所","〒",{"$nulls":9},"　"]
[]
[null,"メール\nアドレス","（自宅）",{"$nulls":9},"　"]
[null,null,"（携帯）"]
[]
[null,"会　員　種　類",null,"あてはまるところに○をつけてください。"]
[]
[null,null,"　□正会員",null,"年会費３，０００円"]
[]
[null,null,"　□賛助会員"]
[null,null,null,"□個人","年１口　３，０００円　　（　　　）口"]
[null,null,null,"□団体","年１口　５，０００円　　（　　　）口"]
[null,null,null,"□企業","年１口　５，０００円　2口以上　　（　　　）口"]
[]
[]
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[{"$nulls":5},"領　収　証"]
[{"$nulls":5},"様",null,null,"　　年　　　月　　　日"]
[]
[{"$nulls":5},"金　　　　　　　円"]
[null,null,null,"上記の通り、ままとんきっず年会費として領収いたしました。"]
[null,null,null,"会員としての有効期限は　　　　　年　　　　月までです。"]
[]
[null,"　ＮＰＯ法人　ままとんきっず　",{"$nulls":8},"受付\nスタッフ"]
[null,null,"　　川崎市多摩区菅稲田堤３－５－４３"]
[null,null,"　　TEL:044-945-8662　/　FAX:044-944-3009"]

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