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["公認記録証・発行依頼"]
[]
["1.大 会 名"]
["2.開催日"]
["3.開催場所"]
["4.参加種目"]
["5.参加者名"]
["6.所　　属"]
["7.当日記録",null,null,null,"8.出場組数"]
["9.書　　類\n　郵 送 先",null,"  〒"]
["日 中 の\n連 絡 先",null,"・勤 務 先\n・自　　宅\n・携帯電話\nいずれかに○して下さい"]
[]
[]
["申込は陸協事務所Eメ－ルアドレスへお願いします。"]
["saitamatf@yacht.ocn.ne.jp"]
["なお、発行手数料１通につき４００円と郵送代８４円が必要です。"]
["合計４８４円分の切手を埼玉陸協事務所宛に郵送して下さい。"]

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