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["イラストつき型教本　申込書 　　*JKA会員ではない一般の方 用"]
[]
[{"$nulls":6},"　送信日： 令和　　　年　　　月　　　日"]
[]
[{"$nulls":7},"発信者："]
["公益社団法人 日本空手協会",{"$nulls":6},"氏名 ：　"]
["　　　ＴＥＬ：　（０３） ５８００-３０９１",{"$nulls":6},"電話番号："]
["　　　FAX ：　（０３） ５８００-３１００"]
["　 担当： 　山本"]
[]
[]
["　【 記載項目 】"]
[]
["お申込者"]
["個数（税込金額）",null,"冊数",{"$nulls":5},"合計金額"]
[null,null,null,"×","@1,100円","＋","370円（送料）","＝","円　"]
["送付先\n（〒・ご住所）",null,"〒"]
[]
["電話番号",null,"　（","）　",null,null,null,"―"]
["お支払方法",null,"　　　　　銀行","[みずほ銀行 飯田橋支店　No.２３７１９３８，公益社団法人　日本空手協会]"]
["[ 何れかに レ点 を表示 ]",null,"　　　　　郵便局","[小石川郵便局　No.００１３０-１-７７８１７９，公益社団法人　日本空手協会]"]
[null,null,"　　　　　クレジットカード払い（メール決済：メールでURL決済リンクをお送りします）"]
[null,null,null,"　【メールアドレス】　"]
["入　金　日",null,null,"月",null,null,null,"日　(入金済）"]
["備　　考"]
[]
[]
[null,"FAX-No","０３-５８００-３１００"]