JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
【参加申込書】12月20日(日)蒔田備憲さんを囲む会
史上初 重度障がい者の国会議員誕生で変わること
誰も切り捨てられない社会を作るために
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
お名前(複数の方は代表)
*
Your answer
お申込み人数
*
Your answer
ご連絡先お電話番号
Your answer
チケットは事前購入済みですか?
はい
いいえ(会場で購入)
Clear selection
コメント、ご連絡事項等(バリアフリー対応など)
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms