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[null,"別記様式６"]
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[null,null,null,"ＥＴＣコーポレートカード返却届"]
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[null,"西日本高速道路株式会社",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[null,null,null,null,null,null,null,"殿"]
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[null,null,null,null,null,null,null,null,null,null,null,null,"お客様番号",null,null,null,"(",null,null,null,null,null,"‐",null,null,null,null,null,"）"]
[null,null,null,null,null,null,null,null,null,null,null,null,"お客様の",null,null,null,"〒",null,null,null,"‐"]
[null,null,null,null,null,null,null,null,null,null,null,null,"おところ"]
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[null,null,null,null,null,null,null,null,null,null,null,null,"お名前※",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"印"]
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[null,null,null,null,null,null,null,null,null,null,null,null,"ＴＥＬ",null,null,null,null,null,null,"‐",null,null,null,"‐"]
[null,null,null,null,null,null,null,null,null,null,null,null,"（※）",null,"法人（事業協同組合を含みます。）でお申込みの場合は、"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"法人名および代表者名を記入してください。"]
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[null,"私は、貸与を受けているＥＴＣコーポレートカードを、利用約款（第８条第１項第　　号、第１０条第５項、第１０条の２第４項、第２５条第１項第　　号、第２７条第３項、第２８条第４項、第２８条の２第５項）に基づき、下記のとおり返却いたします。"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"記"]
[null,"①返却するＥＴＣ",null,null,null,null,null,null,null,{"$f":"COUNTA(B29:I44)","v":0}]
[null,"コーポレートカードの枚数",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"枚"]
[null,"②返却するＥＴＣ",null,null,null,null,null,null,null,"③返却理由",null,null,null,null,null,null,null,null,null,"④備考"]
[null,"コーポレートカードの番号"]
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[null,"(注)",null,"④","…","事業協同組合である場合には、ETCコーポレートカードごとに当該カードを利用した組合員名を記入してください。"]
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[null,"入力漏れチェック未了\r\n（「入力漏れチェック」を押してください。）"]