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["平成２５年度　指導者研修会参加申込書"]
[]
["日本ボーイスカウト長野県連盟　事務局様"]
[{"$nulls":4},"団　　　名"]
[]
[{"$nulls":4},"連絡者氏名"]
[]
[]
["　"]
["　○氏名、役務を必ず記入してください。"]
["　○全日程コース　　10,000円　（2日研修・宿泊・交流会・朝食付）"]
["　○日帰りコース１　　6,000円　（初日研修・交流会）"]
["　○日帰りコース２　　1,000円　（研修のみ）"]
["　　各団ごとにまとめて受付時にお支払いください。"]
["　　尚、申込書提出は１月20日(月）厳守でお願いします。"]
[null,"FAX　0263-87-8211",null,null,"E-Mail　　jimukyoku@bsnagano.jp"]
[{"$nulls":6},"該当するところへ○"]
["Ｎo","氏　　　　　　名",null,"団　役　務","参加の区分",null,"全日程","日帰り１","日帰り２"]
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["連絡事項等ありましたらご記入ください"]
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["全日程参加者",null,null,"名×","円"]
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["日帰りコース１",null,null,"名×","円"]
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["日帰りコース２",null,null,"名×","円",null,"合　　　　計",null,"円"]

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