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[]
["アルコールチェック管理サービスアルレポ　御申込書"]
[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,null,null,null,null,"ナビッピドットコム株式会社"]
[]
[null,null,null,null,"アルレポ　契約条項　MSM版に基づき、以下の通り申し込みます。"]
[]
[null,null,null,null,"※左記チェックボックスにチェックが無い申込書は受理しないものと致します。"]
[null,"　"]
["１．御申込日",null,null,null,"　　年　　月　　日",null,null,null,null,null,null,null,"２．ご利用開始希望日",null,null,null,null,null,"　年　　月　　日"]
[]
["３.御申込内容：御申込内容に「✔」をつけて下さい。"]
[null,null,"新規申し込み",null,null,null,null,null,null,null,null,null,null,"セットプラン/ユーザIDの追加"]
[null,null,"セットプラン/ユーザIDの減少",null,null,null,null,null,null,null,null,null,null,"全解約"]
[]
["４．ご契約者の情報"]
[null,"フリガナ",null,null,null,null,null,null,null,null,null,null,null,null,null,"フリガナ"]
[null,"会社名",null,null,null,null,null,null,null,null,null,null,null,null,null,"代表者名"]
[null,"フリガナ"]
[null,"登記簿上の住所",null,null,null,null,"〒　　　　　　-"]
[]
[null,"【ご担当者の情報】ご利用に必要なURLのご送付先となります。また、メンテナンス実施等のお知らせの連絡先となります。"]
[null,"フリガナ",null,null,null,null,null,null,null,null,null,null,null,null,null,"フリガナ"]
[null,"部署",null,null,null,null,null,null,null,null,null,null,null,null,null,"お名前"]
[null,"連絡先　　電話番号",null,null,null,null,null,null,null,null,null,null,null,null,null,"メール\nアドレス"]
[]
[]
["５．お申込内容"]
[null,null,null,null,null,null,null,"サービス内容",null,null,null,null,null,null,null,null,"条件",null,null,null,null,null,null,null,null,"数量"]
[null,"セットプラン",null,null,null,null,null,"ユーザライセンス１ID・HCS-AC03BTWH1台",null,null,null,null,null,null,null,null,"開始月から課金\n12か月ごとに自動更新",null,null,null,null,null,null,null,null,null,null,null,"ID/台"]
[null,"顔認証オプション",null,null,null,null,null,"検知時の顔撮影に認証機能を付与",null,null,null,null,null,null,null,null,"12か月ごとに自動更新\nユーザ数と同数の契約が必要となります",null,null,null,null,null,null,null,null,null,null,null,"ID"]
[null,"帳票オプション",null,null,null,null,null,"検査結果の帳票出力機能を付与",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ID"]
[null,"備考"]
[null,"■減少・解約時は利用期間終了日の１ヶ月前までに所定の申込方法に代理店へご連絡ください。"]
[null,"■報告データの保存期間はデータ送信日時から12ヶ月間となります。 削除データの復旧は対応しておりません。"]
[null,"【セットプラン】"]
[null,"■ご利用期間は、12ヶ月毎の自動更新となります。1ヶ月前までに所定の方法にて申し出のない場合には自動的に同一内容"]
[null,"　にて更新されるものとし、以後の満了に際しても同様とします。以後、12ヶ月毎の更新となります。"]
[null,"■契約期間中の契約者からの中途解約はできません。"]
[null,"エレコム株式会社　アルスマート(HCS-AC03BTWH)のセンサー寿命は　2,000回または1年　（どちらか早いほう）となります。"]
[null,"検知器納品月から12ヶ月目に検知器本体をお送りいたします。お客様にて本体を交換してご利用ください。"]
[null,"センサー寿命より先に測定回数上限に達した場合はご購入いただくものといたします。"]
[]
["※代理店記入欄"]
[null,"代理店名",null,null,"SBC&S 株式会社",null,null,null,null,"担当者名",null,null,"MSM推進部",null,null,null,"担当者連絡先",null,null,null,"sbbmb-cx-msmoperation@g.softbank.co.jp"]

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[null,"セットプラン　アルコール検知器配送先一覧"]
[null,null,"配送先はご契約会社と同社の事業所のみとさせていただきます。"]
[null,null,"各配送先への送付台数の合計台数はセットプラン契約合計数と一致する台数を記入をお願いします。"]
[]
[null,null,"合計数",null,null,{"$f":"SUM(E8,E20,E32,E44,U8,U20)","v":0},null,null,null,"台"]
[]
[null,"配送先①",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"配送先②"]
[null,"送付台数",null,null,null,null,null,null,null,null,null,null,"台",null,null,null,null,"送付台数",null,null,null,null,null,null,null,null,null,null,"台"]
[]
[null,"フリガナ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"フリガナ"]
[null,"部署",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"部署"]
[null,"フリガナ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"フリガナ"]
[null,"住所",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"住所"]
[null,"フリガナ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"フリガナ"]
[null,"ご担当者名前",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ご担当者名前"]
[null,"連絡先\n電話番号",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"連絡先\n電話番号"]
[]
[]
[null,"配送先③",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"配送先④"]
[null,"送付台数",null,null,null,null,null,null,null,null,null,null,"台",null,null,null,null,"送付台数",null,null,null,null,null,null,null,null,null,null,"台"]
[]
[null,"フリガナ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"フリガナ"]
[null,"部署",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"部署"]
[null,"フリガナ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"フリガナ"]
[null,"住所",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"住所"]
[null,"フリガナ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"フリガナ"]
[null,"ご担当者名前",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ご担当者名前"]
[null,"連絡先\n電話番号",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"連絡先\n電話番号"]
[]
[]
[null,"配送先⑤"]
[null,"送付台数",null,null,null,null,null,null,null,null,null,null,"台"]
[]
[null,"フリガナ"]
[null,"部署"]
[null,"フリガナ"]
[null,"住所"]
[null,"フリガナ"]
[null,"ご担当者名前"]
[null,"連絡先\n電話番号"]

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