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{"sheet":"申込書","index":0,"n_rows":41,"n_cols":22,"rows_kept":41,"cut":false,"hidden":false,"merged":[[9,2,9,4],[9,6,9,7],[9,16,9,19],[0,1,0,21],[1,1,1,8],[1,9,1,21],[2,1,2,21],[3,1,3,21],[4,1,4,21],[5,1,5,6],[6,1,8,6],[6,7,6,21],[7,7,7,21],[8,7,8,21],[10,2,10,4],[10,6,10,12],[11,2,11,4],[11,11,11,12],[10,13,10,15],[11,13,11,14],[12,2,13,4],[12,7,12,8],[12,10,12,12],[12,13,12,15],[12,16,12,21],[13,6,13,21],[14,2,14,4],[14,6,14,21],[16,2,16,4],[16,6,16,12],[16,13,16,15],[16,16,16,21],[20,16,20,19],[17,2,17,4],[17,11,17,12],[17,13,17,14],[18,2,18,4],[18,6,18,12],[18,13,18,21],[17,16,17,19],[19,2,19,4],[19,6,19,12],[20,2,20,4],[20,11,20,12],[20,13,20,14],[19,13,19,15],[23,2,23,4],[23,6,23,7],[23,8,23,13],[23,14,23,15],[23,16,23,21],[21,2,21,4],[21,6,21,12],[21,13,21,21],[22,2,22,4],[22,6,22,21],[24,2,24,4],[24,6,24,13],[24,14,24,21],[25,6,25,7],[25,8,25,13],[25,14,25,15],[25,16,25,21],[29,6,29,7],[29,14,29,15],[29,16,29,21],[26,2,26,4],[26,6,26,7],[26,8,26,13],[26,14,26,15],[26,16,26,21],[27,2,27,4],[27,6,27,7],[27,14,27,15],[27,16,27,21],[36,1,36,21],[39,2,39,4],[39,6,39,12],[39,13,39,15],[39,16,39,21],[10,16,10,21],[19,16,19,21],[11,16,11,21],[34,1,34,21],[35,1,35,21],[30,1,30,5],[30,6,30,21],[32,2,32,4],[32,6,32,7],[32,8,32,13],[32,14,32,15],[32,16,32,21],[28,2,28,4],[28,6,28,7],[28,14,28,15],[28,16,28,21]]}
[null,"旅 行 申 込 書"]
[null,"Fax:0836-29-3303",null,null,null,null,null,null,null,"Mail : tour@ube-kankou.or.jp"]
[null,"旅行条件および下記のお客様の「個人情報の取り扱い」について同意の上、以下の旅行に申し込みます。"]
[null,"お客様の「個人情報の取り扱い」"]
[null,"ツアーの申込にあたりお客様からいただく個人情報は、本ツアーに関する目的以外の使用は一切致しません。"]
[null,"参加条件"]
[null,"右記（1）または（2）のいずれか、および（3）の内容を証明いただきます。また当協会の感染防止対策にご協力いただけること。",null,null,null,null,null,"（1）ワクチン2回接種済みで、接種日から14日以上経過していること。       　　　　　　　　　　　　"]
[null,null,null,null,null,null,null,"（2）出発日の3日前以降に採取した検体によるPCR検査または抗原定量検査が陰性であること。"]
[null,null,null,null,null,null,null,"（3）ご出発受付時に本人を確認する書面などの確認が必要"]
[null,null,"申込日",null,null,null,"2022年　",null,null,"月",null,"日",null,null,null,null,"ワクチン接種回数",null,null,null,null,"回"]
[null,null,"代表者氏名",null,null,null,null,null,null,null,null,null,null,"フリガナ"]
[null,null,"性別・年齢",null,null,null,null,"男",null,"女",null,"無回答",null,null,null,"才","※接種2回未満の方は上記参加条件（2）が必要です。"]
[null,null,"住所",null,null,null," 〒　　　　　-",null,null,"ー",null,null,null,"携帯番号"]
[]
[null,null,"メール"]
[]
[null,null,"同行者１氏名",null,null,null,null,null,null,null,null,null,null,"フリガナ"]
[null,null,"性別・年齢",null,null,null,null,"男",null,"女",null,"無回答",null,null,null,"才","ワクチン接種回数",null,null,null,null,"回"]
[null,null,"携帯番号",null,null,null,null,null,null,null,null,null,null,"※接種2回未満の方は上記参加条件（2）が必要です。"]
[null,null,"同行者２氏名",null,null,null,null,null,null,null,null,null,null,"フリガナ"]
[null,null,"性別・年齢",null,null,null,null,"男",null,"女",null,"無回答",null,null,null,"才","ワクチン接種回数",null,null,null,null,"回"]
[null,null,"携帯番号",null,null,null,null,null,null,null,null,null,null,"※接種2回未満の方は上記参加条件（2）が必要です。"]
[]
[null,null,"出発日",null,null,null,null,null,"８月２３日（火）",null,null,null,null,null,null,null,"８月３０日（火）"]
[null,null,null,null,null,null,"ANAクラウンプラザホテル宇部",null,null,null,null,null,null,null,"ABホテル宇部新川"]
[null,null,null,null,null,null,null,null,"1⃣シングルルーム（1名利用）",null,null,null,null,null,null,null,"3⃣新川駅側セミダブルルーム（1名利用）"]
[null,null,"ホテル",null,null,null,null,null,"2⃣ツインルーム（2名利用）",null,null,null,null,null,null,null,"4⃣新川駅側セミダブルルーム（2名利用）"]
[null,null,"部屋タイプ",null,null,null,null,null,null,null,null,null,null,null,null,null,"5⃣新川駅側ツインルーム（2名利用）"]
[null,null,"（禁煙）",null,null,null,null,null,null,null,null,null,null,null,null,null,"6⃣工場群側セミダブルルーム（1名利用）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"7⃣工場群側セミダブルルーム（2名利用）"]
[null,"第2・3希望",null,null,null,null,"上記番号をご記入ください→"]
[]
[null,null,"乗車駅",null,null,null,null,null,"JR新山口駅",null,null,null,null,null,null,null,"JR草江駅"]
[]
[null,"代表者がお申込み時点で１８歳未満の方は保護者の同意書をご提出いただいております"]
[null,"私は申込者の親権者（法定代理人）として、申込者が貴社との旅行契約を締結することに同意いたします　　　　　　　　　　　　　　　　　　"]
[null,"西暦　　　年　　　月　　　日　　　親権者署名"]
[]
[null,"＜以下、事務局記入欄＞"]
[null,null,"受付日",null,null,null,"西暦　　　年　　月　　日",null,null,null,null,null,null,"受付担当者"]
[null,"備考："]