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2013年12月8日(土)ボストン三田会 夏の懇親会 参加申し込みフォーム
正午開始
Itadaki Restaurant
269 Newbury Street, Boston, MA 02116
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お名前
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例:福澤 諭吉
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ふりがな
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例:ふくざわ ゆきち
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卒業年
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出身学部
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参加人数(大人)
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参加人数(高校生以下、在学生)
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参加人数(6歳以下)
無料
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今回、ボストン三田会への参加は初めてですか?
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入会金(10ドル)
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いいえ
電子メールアドレス
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例:
fukuzawa.yukichi@keio.ac.jp
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