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つばさん異業種交流会お申込みフォーム
下記に必要事項を入力してお申し込みください。
日時:4月25日(火)18:30~20:30 場所:善性寺 参加費4,000円
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お名前
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年代
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20~24
25~29
30~34
35~39
業種または所属企業名
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お電話番号
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メールアドレス
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燕三条青年会議所メンバーの中にお知り合いやご友人がいらっしゃいましたらご記入ください。
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