Inquiry to coverage and image usage / 取材及び画像利用などに関するご相談
Subjects / お問合せ種類
Name / 名前 *
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Email address / メールアドレス *
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Phone / 電話番号 *
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Name of media / 媒体名
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Website URL
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Interview theme / 取材テーマ・企画概要
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Schedule of publish or broadcast / 公開日
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Request interview date / 取材希望日時
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Note / コメント
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