お問い合わせ/Contact
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お名前（姓）/Last name *
お名前（名）/First name *
お名前（カナ）/Name(Kana) *the Japanese syllabary
メールアドレス/E-mail *
（確認用）メールアドレス/(for confirmation) E-mail *
都道府県/Residence
団体名/Organization
部署名/Department
お問い合わせ内容/Message *
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