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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"申込日",null,"　",null,"年","　","月","　","日"]
[null,"  ","    福岡日英協会入会申込書"]
[]
[null,"      The Fukuoka Japan-British Society Application for Membership             "]
[]
[null,null,"個人会員",null,"Individual　Membership Dues(1April to 31March in the following year)"]
[null,"フリガナKana",null,null,null,null,null,null,null,null,null,"ローマ字Romaji"]
[null,"ご芳名Name",null,null,null,null,null,null,null,null,null,"※推薦者　Proposer"]
[]
[null,"住所address",null,null,"〒"]
[]
[null,"電話番号        Phone Number",null,null,null,null,null,null,null,null,null,"携帯電話 Mobile"]
[null,"メールアドレス1　Email address(1)",null,null,null,null,null,null,null,null,null,"メールアドレス2　Email address(2)"]
[null,"勤務先または学校名"]
[null,"Office　Name or 　　　School Name"]
[]
[null,"備考　Notes　"]
[]
[]
[null,null,"法人会員",null,"Corporate　Membership Dues(1 April to 31 March in the following year)"]
[null,"フリガナ"]
[null,"法人名      Company Name"]
[]
[null,"役職名 Title"]
[null,"フリガナ Kana"]
[null,"代表者氏名Name"]
[null,"所在地　address",null,null,"〒"]
[]
[null,"電話番号　　 Phone　Number",null,null,null,null,null,null,null,null,null,"申込口数 Unit",null,null,null,null,null,null,null,null,"口"]
[null,"メールアドレス　Email address",null,null,null,null,null,null,null,null,null,"ご連絡先　　　（担当者等）"]
[null,"備　　　考　Notes"]
[null,"★入会申込書にご記入いただいた情報は、会報誌の送付、セミナー、イベントのご案内等に使用させて頂きます。"]
[null,"　ご本人の承諾のない限り、前述の目的以外の使用、第三者に提供することはありません。"]
["\n"]
[]
[]
[null,"お申込み方法",null,null,null,null,null,null,null,null,null,null,null,null,null,"年会費(会計年度：4月1日～翌年3月31日）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　　法人会員　￥30,000　/　1口"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　　個人会員　￥5,000 　"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"振込先　",null,"西日本シティ銀行福岡支店　　　　　普通預金　1509496　　　　　　　　福岡日英協会(ﾌｸｵｶﾆﾁｴｲｷｮｳｶｲ）"]
[]
[null,"福岡日英協会事務局　The Fukuoka Japan-British Society\n〒812-0011　福岡市博多区博多駅前1-3-6　　　　　　　　　　　　　Phone:092-476-2155  Fax:092-476-2634　Email:fjbs.event@castle.ocn.ne.jp"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"事　務　局　欄"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"会　　長",null,"常務理事",null,"事務局長",null,"担当者"]