JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
購読お申し込みフォーム
・配達月間購読料(石巻地域配送エリア内):2,000円
・郵便月間購読料(全国配送):2,300円
Sign in to Google
to save your progress.
Learn more
* Indicates required question
お名前(氏名)
*
Your answer
フリガナ(氏名)
*
Your answer
企業名
Your answer
郵便番号(例:986-0874)
*
Your answer
住所
*
宮城県石巻市双葉町8-17
Your answer
電話番号
*
0225-95-5231
Your answer
メールアドレス
Your answer
購読申し込みの理由
Your answer
お支払い方法
口座振替
訪問時集金
Submit
Clear form
Never submit passwords through Google Forms.
Forms
This content is neither created nor endorsed by Google.
Report Abuse
Terms of Service
Privacy Policy