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パドマチャンネル・セレクト申込シート
※下記にご記入いただいたアドレスに、パドマチャンネル・セレクトのアドレスをお送りします。
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Email
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Your email
お子さまのお名前（漢字）
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お子さまのお名前（よみがな）
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Your answer
お子さまの生年月日
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DD
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YYYY
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