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2022サポーターズクラブ申込
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名前【姓】
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名前【名】
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ふりがな【姓】
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ふりがな【名】
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生年月日
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郵便番号
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住所
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電話番号
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メールアドレス
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会費お支払日
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会員種別
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プラチナ会員入力欄
オーセンティックユニフォーム種類
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サイズ
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名前
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ユニフォームへのサイン希望
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サインの希望選手
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ホームページへの氏名掲載
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その他のご意見またはコメント
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