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[null,"第65回北海道歯科医師野球大会",{"$nulls":4},"送付先　ＦＡＸ：011-222-4357"]
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[null,"宿泊申込書",{"$nulls":4},"申込締切日　4月19日（土）"]
[null,"大会実施及び旅行手配のために必要な範囲内での宿泊機関・大会事務局への個人情報の提供について同意の上、"]
[null,"以下の通り申し込みをいたします。"]
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[null,"申込代表者住所",{"$nulls":4},"携帯","090-5950-5059"]
[null,"空知郡南幌町東町４丁目9-21",{"$nulls":4},"TEL","011-378-5511"]
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[null,"E-MAIL","kwsbc714@ybb.ne.jp"]
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[null,"宿泊希望ホテル","第一希望","ホテルルートイン札幌中央"]
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