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＊Tie-up and cooperation company＊


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Cooperation company detailed filling in





Furigana name(em-size Japanese syllabary)
(*)
Company name
(*)
Furigana name(em-size Japanese syllabary)
(*)
Representative name
(*)
Representative sex
Man　　　Woman
Present occupational category
ZIP code
(*)
Administrative divisions
(*)
Municipal district town and village name and house number
(*)
Bilmantion etc
Telephone number
(*)
Fax number
(*)
Mail address for report
(*)
Furigana name(em-size Japanese syllabary)
Person in charge name
What shape tie-up hope


(*)Please drink and input Cou eyes.





　

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* The person who uses the e-mail software that doesn't correspond to the mailto tag such as PostPet


[ Mail Sending ] button cannot be used. Without using this form


Please click the followingtie-up and the cooperation hope.


According to the above-mentioned content because the e-mail software used stands up


Please fill in, and transmit to our company.










* E-mail software that uses whether mail was correctly transmitted for confirmation


Please confirm the transmission history etc.






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