{"id":1724,"date":"2026-04-23T10:52:41","date_gmt":"2026-04-23T01:52:41","guid":{"rendered":"https:\/\/www.watarase-ginou.or.jp\/?page_id=1724"},"modified":"2026-04-23T10:52:42","modified_gmt":"2026-04-23T01:52:42","slug":"%e5%86%8d%e4%ba%a4%e4%bb%98%e3%83%bb%e6%9b%b8%e6%9b%bf","status":"publish","type":"page","link":"https:\/\/www.watarase-ginou.or.jp\/?page_id=1724","title":{"rendered":"\u518d\u4ea4\u4ed8\u30fb\u66f8\u66ff"},"content":{"rendered":"\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f1723-o1\" lang=\"ja\" dir=\"ltr\" data-wpcf7-id=\"1723\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F1724#wpcf7-f1723-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"\u30b3\u30f3\u30bf\u30af\u30c8\u30d5\u30a9\u30fc\u30e0\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset 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value=\"{&quot;form_id&quot;:1723,&quot;conditions&quot;:[{&quot;then_field&quot;:&quot;group-tel&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;select-tel&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;\\u56fa\\u5b9a\\u96fb\\u8a71&quot;}]},{&quot;then_field&quot;:&quot;group-mobile&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;select-tel&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;\\u643a\\u5e2f\\u96fb\\u8a71&quot;}]},{&quot;then_field&quot;:&quot;kakikae&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;riyu&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;\\u66f8\\u66ff&quot;}]}],&quot;settings&quot;:{&quot;animation&quot;:&quot;yes&quot;,&quot;animation_intime&quot;:200,&quot;animation_outtime&quot;:200,&quot;conditions_ui&quot;:&quot;normal&quot;,&quot;notice_dismissed&quot;:false,&quot;notice_dismissed_update-cf7-6.1.5&quot;:true}}\" \/>\n<\/fieldset>\n<input 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type=\"hidden\" name=\"post_id\" \/>\n<h3>\u4fee\u4e86\u8a3c\u3000\u518d\u4ea4\u4ed8\u30fb\u66f8\u66ff\u7533\u8fbc\uff08\uff0a\u306f\u5fc5\u9808\u9805\u76ee\u3067\u3059\uff09\n<\/h3>\n<table class=\"form\">\n\t<tr>\n\t\t<th width=\"29\">\n\t\t\t<p>\u6c0f\u540d\uff08\u59d3\uff09\uff08\u540d\uff09\uff0a\n\t\t\t<\/p>\n\t\t<\/th>\n\t\t<td width=\"485\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-name-sei\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required name\" autocomplete=\"name\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\uff08\u59d3\uff09\" value=\"\" type=\"text\" name=\"your-name-sei\" \/><\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"your-name-mei\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required name display_block\" autocomplete=\"name\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\uff08\u540d\uff09\" value=\"\" type=\"text\" name=\"your-name-mei\" \/><\/span>\n\t\t\t<input class=\"wpcf7-form-control wpcf7-hidden\" value=\"\" type=\"hidden\" name=\"your-name\" \/>\n\t\t\t<\/p>\n\t\t\t<div class=\"has-small-font-size display_block\">\n\t\t\t\t<p>\u203b\u6b63\u5f0f\u540d\uff1a\u516c\u306e\u6a5f\u95a2\u304c\u767a\u884c\u3057\u305f\u30d1\u30b9\u30dd\u30fc\u30c8\u3084\u81ea\u52d5\u8eca\u514d\u8a31\u8a3c\u3001\u5916\u56fd\u4eba\u767b\u9332\u8a3c\u660e\u66f8\u306b\u8f09\u3063\u3066\u3044\u308b\u6587\u5b57\u3068\u540c\u3058\u8868\u8a18\u3067\u8a18\u5165\u304f\u3060\u3055\u3044\u3002\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"has-small-font-size text-danger\">\n\t\t\t\t<p>\u4f8b\uff09\u25ef\u9f4b\u85e4\u3000\u5ee3\u3000\u00d7\u6589\u85e4\u3000\u5e83<br 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\/><\/span>\n\t\t\t<input class=\"wpcf7-form-control wpcf7-hidden\" value=\"\" type=\"hidden\" name=\"your-kana\" \/>\n\t\t\t<\/p>\n\t\t<\/td>\n\t<\/tr>\n\t<tr>\n\t\t<th>\n\t\t\t<p>\u751f\u5e74\u6708\u65e5\uff0a\n\t\t\t<\/p>\n\t\t<\/th>\n\t\t<td class=\"birthday\">\n\t\t\t<div class=\"check-birthday\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-birthday\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"checkbox-birthday\" value=\"\u662d\u548c\" \/><span class=\"wpcf7-list-item-label\">\u662d\u548c<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"checkbox-birthday\" value=\"\u5e73\u6210\" \/><span class=\"wpcf7-list-item-label\">\u5e73\u6210<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"birth-year\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"select-year\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"select-year\"><option value=\"\">\u5e74<\/option><option value=\"1\">1<\/option><option value=\"2\">2<\/option><option value=\"3\">3<\/option><option value=\"4\">4<\/option><option value=\"5\">5<\/option><option value=\"6\">6<\/option><option value=\"7\">7<\/option><option value=\"8\">8<\/option><option value=\"9\">9<\/option><option value=\"10\">10<\/option><option value=\"11\">11<\/option><option value=\"12\">12<\/option><option value=\"13\">13<\/option><option value=\"14\">14<\/option><option value=\"15\">15<\/option><option value=\"16\">16<\/option><option value=\"17\">17<\/option><option value=\"18\">18<\/option><option value=\"19\">19<\/option><option value=\"20\">20<\/option><option value=\"21\">21<\/option><option value=\"22\">22<\/option><option value=\"23\">23<\/option><option value=\"24\">24<\/option><option value=\"25\">25<\/option><option value=\"26\">26<\/option><option value=\"27\">27<\/option><option value=\"28\">28<\/option><option value=\"29\">29<\/option><option value=\"30\">30<\/option><option value=\"31\">31<\/option><option value=\"32\">32<\/option><option value=\"33\">33<\/option><option value=\"34\">34<\/option><option value=\"35\">35<\/option><option value=\"36\">36<\/option><option value=\"37\">37<\/option><option value=\"38\">38<\/option><option value=\"39\">39<\/option><option value=\"40\">40<\/option><option value=\"41\">41<\/option><option value=\"42\">42<\/option><option value=\"43\">43<\/option><option value=\"44\">44<\/option><option value=\"45\">45<\/option><option value=\"46\">46<\/option><option value=\"47\">47<\/option><option value=\"48\">48<\/option><option value=\"49\">49<\/option><option value=\"50\">50<\/option><option value=\"51\">51<\/option><option value=\"52\">52<\/option><option value=\"53\">53<\/option><option value=\"54\">54<\/option><option value=\"55\">55<\/option><option value=\"56\">56<\/option><option value=\"57\">57<\/option><option value=\"58\">58<\/option><option value=\"59\">59<\/option><option value=\"60\">60<\/option><option value=\"61\">61<\/option><option value=\"62\">62<\/option><option value=\"63\">63<\/option><option value=\"64\">64<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"selectbox-3\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"select-month\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"select-month\"><option value=\"\">\u6708<\/option><option value=\"1\">1<\/option><option value=\"2\">2<\/option><option value=\"3\">3<\/option><option value=\"4\">4<\/option><option value=\"5\">5<\/option><option value=\"6\">6<\/option><option value=\"7\">7<\/option><option value=\"8\">8<\/option><option value=\"9\">9<\/option><option value=\"10\">10<\/option><option value=\"11\">11<\/option><option value=\"12\">12<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"selectbox-3\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"select-day\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"select-day\"><option value=\"\">\u65e5<\/option><option value=\"1\">1<\/option><option value=\"2\">2<\/option><option value=\"3\">3<\/option><option value=\"4\">4<\/option><option value=\"5\">5<\/option><option value=\"6\">6<\/option><option value=\"7\">7<\/option><option value=\"8\">8<\/option><option value=\"9\">9<\/option><option value=\"10\">10<\/option><option value=\"11\">11<\/option><option value=\"12\">12<\/option><option value=\"13\">13<\/option><option value=\"14\">14<\/option><option value=\"15\">15<\/option><option value=\"16\">16<\/option><option value=\"17\">17<\/option><option value=\"18\">18<\/option><option value=\"19\">19<\/option><option value=\"20\">20<\/option><option value=\"21\">21<\/option><option value=\"22\">22<\/option><option value=\"23\">23<\/option><option value=\"24\">24<\/option><option value=\"25\">25<\/option><option value=\"26\">26<\/option><option value=\"27\">27<\/option><option value=\"28\">28<\/option><option value=\"29\">29<\/option><option value=\"30\">30<\/option><option value=\"31\">31<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/td>\n\t<\/tr>\n\t<tr>\n\t\t<th>\n\t\t\t<p>\u96fb\u8a71\u756a\u53f7\uff0a\n\t\t\t<\/p>\n\t\t<\/th>\n\t\t<td class=\"birthday\">\n\t\t\t<div class=\"selectbox-3\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"select-tel\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"select-tel\"><option value=\"\">\u3069\u3061\u3089\u304b\u9078\u629e<\/option><option value=\"\u56fa\u5b9a\u96fb\u8a71\">\u56fa\u5b9a\u96fb\u8a71<\/option><option value=\"\u643a\u5e2f\u96fb\u8a71\">\u643a\u5e2f\u96fb\u8a71<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"telbox\">\n\t\t\t\t<div data-id=\"group-tel\" data-orig_data_id=\"group-tel\"  class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"tel\"><input size=\"40\" maxlength=\"12\" minlength=\"10\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" id=\"tel\" autocomplete=\"tel\" aria-invalid=\"false\" placeholder=\"\u56fa\u5b9a\u96fb\u8a71:\u30cf\u30a4\u30d5\u30f3\u306a\u3057\" value=\"\" type=\"tel\" name=\"tel\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div data-id=\"group-mobile\" data-orig_data_id=\"group-mobile\"  class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"mobile\"><input size=\"40\" maxlength=\"13\" minlength=\"11\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" id=\"mobile\" autocomplete=\"tel\" aria-invalid=\"false\" placeholder=\"\u643a\u5e2f\u96fb\u8a71\uff1a\u30cf\u30a4\u30d5\u30f3\u306a\u3057\" value=\"\" type=\"tel\" name=\"mobile\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/td>\n\t<\/tr>\n\t<tr>\n\t\t<th>\n\t\t\t<p>\u90f5\u4fbf\u756a\u53f7<br \/>\n\u73fe\u4f4f\u6240\uff0a\n\t\t\t<\/p>\n\t\t<\/th>\n\t\t<td class=\"adress\">\n\t\t\t<div class=\"has-small-font-size text-danger\">\n\t\t\t\t<p>\u90f5\u4fbf\u756a\u53f7\u5165\u529b\u3067\u4f4f\u6240\u81ea\u52d5\u8aad\u307f\u8fbc\u307f\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"zipcode\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"zipcode\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-required wpcf7-validates-as-number\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\u90f5\u4fbf\u756a\u53f7:\u30cf\u30a4\u30d5\u30f3\u306a\u3057\" value=\"\" type=\"number\" name=\"zipcode\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"pref\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"pref\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required pref\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\u90fd\u9053\u5e9c\u770c\" value=\"\" type=\"text\" name=\"pref\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"address01\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\u5e02\u533a\u753a\u6751\u30fb\u5730\u57df\" value=\"\" type=\"text\" name=\"address01\" \/><\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"address02\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" 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placeholder=\"\u90f5\u4fbf\u756a\u53f7:\u30cf\u30a4\u30d5\u30f3\u306a\u3057\" value=\"\" type=\"number\" name=\"zipcode2\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"pref\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"pref2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text pref\" aria-invalid=\"false\" placeholder=\"\u90fd\u9053\u5e9c\u770c\" value=\"\" type=\"text\" name=\"pref2\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"address01_2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"\u5e02\u533a\u753a\u6751\u30fb\u5730\u57df\" value=\"\" type=\"text\" name=\"address01_2\" \/><\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"address02_2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"\u756a\u5730\u4ee5\u4e0b\uff08\u90e8\u5c4b\u756a\u53f7\u306a\u3069\uff09\" value=\"\" type=\"text\" name=\"address02_2\" \/><\/span>\n\t\t\t<input class=\"wpcf7-form-control wpcf7-hidden\" value=\"\" type=\"hidden\" name=\"your-address2\" \/>\n\t\t\t<\/p>\n\t\t<\/td>\n\t<\/tr>\n\t<tr>\n\t\t<th>\n\t\t\t<p>\u7533\u8acb\u7406\u7531\uff0a\n\t\t\t<\/p>\n\t\t<\/th>\n\t\t<td>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"riyu\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"riyu[]\" value=\"\u7d1b\u5931\" \/><span class=\"wpcf7-list-item-label\">\u7d1b\u5931<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"riyu[]\" value=\"\u76d7\u96e3\" \/><span class=\"wpcf7-list-item-label\">\u76d7\u96e3<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"riyu[]\" value=\"\u7834\u640d\" \/><span class=\"wpcf7-list-item-label\">\u7834\u640d<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"riyu[]\" value=\"\u66f8\u66ff\" \/><span class=\"wpcf7-list-item-label\">\u66f8\u66ff<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t\t<div data-id=\"kakikae\" data-orig_data_id=\"kakikae\" data-clear_on_hide class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t\t<p>\u7533\u8acb\u7406\u7531\u304c\u66f8\u66ff\u306e\u5834\u5408\n\t\t\t\t<\/p>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"old\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text name\" aria-invalid=\"false\" placeholder=\"\u65e7\u59d3\" value=\"\" type=\"text\" name=\"old\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/td>\n\t<\/tr>\n\t<tr>\n\t\t<th>\n\t\t\t<p>\u4fee\u4e86\u8a3c<br \/>\n\u6280\u80fd\u8b1b\u7fd2\n\t\t\t<\/p>\n\t\t<\/th>\n\t\t<td>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" 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class=\"wpcf7-list-item-label\">\u4e0d\u6574\u5730\u904b\u642c\u8eca<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"reissue[]\" value=\"\u30ac\u30b9\u6eb6\u63a5\" \/><span class=\"wpcf7-list-item-label\">\u30ac\u30b9\u6eb6\u63a5<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t<\/tr>\n\t<tr>\n\t\t<th>\n\t\t\t<p>\u4fee\u4e86\u8a3c<br \/>\n\u7279\u5225\u6559\u80b2\u30fb\u5b89\u5168\u885b\u751f\u6559\u80b2\n\t\t\t<\/p>\n\t\t<\/th>\n\t\t<td>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"reissue\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"reissue[]\" value=\"\u30a2\u30fc\u30af\u6eb6\u63a5\" \/><span class=\"wpcf7-list-item-label\">\u30a2\u30fc\u30af\u6eb6\u63a5<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"reissue[]\" value=\"\u30af\u30ec\u30fc\u30f3\u7279\u5225\" 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name=\"reissue[]\" value=\"\u3068\u3044\u3057\" \/><span class=\"wpcf7-list-item-label\">\u3068\u3044\u3057<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"reissue[]\" value=\"\u30d5\u30a9\u30fc\u30af\u7279\u5225\" \/><span class=\"wpcf7-list-item-label\">\u30d5\u30a9\u30fc\u30af\u7279\u5225<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"reissue[]\" value=\"\u4e38\u306e\u3053\u7b49\" \/><span class=\"wpcf7-list-item-label\">\u4e38\u306e\u3053\u7b49<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"reissue[]\" value=\"\u9ad8\u6240\u7279\u5225\" \/><span class=\"wpcf7-list-item-label\">\u9ad8\u6240\u7279\u5225<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"reissue[]\" value=\"\u7c89\u5875\" \/><span class=\"wpcf7-list-item-label\">\u7c89\u5875<\/span><\/label><\/span><span 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class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"reissue[]\" value=\"\u30d5\u30eb\u30cf\u30fc\u30cd\u30b9\" \/><span class=\"wpcf7-list-item-label\">\u30d5\u30eb\u30cf\u30fc\u30cd\u30b9<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"reissue[]\" value=\"\u305d\u306e\u4ed6\" \/><span class=\"wpcf7-list-item-label\">\u305d\u306e\u4ed6<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t<\/tr>\n<\/table>\n<h3>\u305d\u306e\u4ed6\u60c5\u5831\n<\/h3>\n<table class=\"form space_bottom\">\n\t<tr>\n\t\t<th>\n\t\t\t<p>\u30e1\u30fc\u30eb\uff0a\n\t\t\t<\/p>\n\t\t<\/th>\n\t\t<td>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" autocomplete=\"email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"your-email\" 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accept=\"image\/*\" aria-invalid=\"false\" type=\"file\" name=\"file-520\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t<\/tr>\n<\/table>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"\u9001&nbsp;\u4fe1&nbsp;\u3059&nbsp;\u308b\" \/>\n<\/p><div class=\"wpcf7-response-output\" 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