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["第４１回近県レディースソフトテニス下関大会申込書"]
[]
["　　　　　　　　　　　　〒"]
["　　　申込責任者　住　所"]
[]
["　　　　　　　　　氏　名　　　　　　　　　　　　　電話　"]
[]
["種 別　　",null,null,null,null,null,null,null,null,null,null,null,null,null," ※種別毎に申込をして下さい"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　 字は楷書で丁寧に「フリガナ」も記入して下さい"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　※年令は令和4年4月1日現在満年齢で記入して下さい"]
[" 所属クラブ名",null,null,null,null,"クラブ代表者氏名",null,null,null,null,null,null,null,"住　　　　　所",null,null,null,null,null,null,null,null,null,null,"電　　話"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"〒"]
[]
[]
["No","フ　リ　ガ　ナ",null,null,null,null,null,null,null,null,null,"生年月日",null,null,null,null,"満年齢",null,null,"ク　ラ　ブ　名",null,null,null,null,null,null,null,"備　　考"]
[null,"氏　　　　名"]
[null,"Ａ"]
[]
[null,"Ｂ"]
[]
[null,"Ａ"]
[]
[null,"Ｂ"]
[]
[null,"Ａ"]
[]
[null,"Ｂ"]
[]
[null,"Ａ"]
[]
[null,"Ｂ"]
[]
[null,"Ａ"]
[]
[null,"Ｂ"]
[]
[null,"Ａ"]
[]
[null,"Ｂ"]
[]
[]
["(申込種別が中止の場合、若い種別に参加を希望する場合は「備考」に○印をつけてください。)"]
[]
["  参加料 1ペア ",null,null,null,null,null,"3，000円",null,null,null,null,null,"×",null,null,null,null,null,"ペア",null,"＝","合計",null,null,null,null,null,null,"円"]
[]
[" ※参加料は郵便振替で納入してください。"]