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ご意見・ご要望
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年齢
60歳未満
60~65未満
65~70未満
70~75未満
75~80未満
80歳以上
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会員
シルバー会員
Other:
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地区
長岡地区
韮山地区
大仁地区
市外
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内容
依頼について
就業について
Other:
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具体的なご意見・ご要望
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