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["第67回北海道歯科医師野球大会（岩見沢大会）本登録総括用紙"]
[]
[null,null,null,"              平成28年　　　月　　　日"]
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[null,null,null,"         札幌 歯科医師会"]
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["　参加人数および参加費用"]
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[null,null,"単　　　価","人数・チーム数","計"]
[null,"選手登録費","　　２，０００円","　　　　　　　　　86名","172,000円"]
[null,"チーム参加費","　３０，０００円","６チーム","180,000円"]
[null,"個人参加費","　２０，０００円","　　　　　　　　　86名","1,720,000円"]
[null,null,null,"総　　　計","2,072,000円"]
[]
[null,"・個人参加費は、懇親会費を含み、野球大会のみ参加の方も、懇親会のみ参加の"]
[null,"　方も、一律２０，０００円となっております。"]
[null,"・選手は、選手登録費および個人参加費を負担します。（表彰年数に数えられます）"]
[null,"・応援団は、個人参加費のみを負担します。（表彰年数に数えられません）"]
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[null,"※平成28年4月5日（火）　必着でお願いします"]
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[null,"返信先","Eメール： (  iwamizawa.baseball@gmail.com )"]
[null,"　　　岩見沢大会 実行委員会 　久恒泰宏・加藤久尚・三嶋直之"]

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