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＞ ご意見・ご提案・お問い合せなど
地域政党 日本新生に対するご意見・ご提案、お問い合わせなどがありましたらお寄せください。
皆さまから寄せられた内容は、すべて目を通して、党の貴重な資料として参考にさせていただきます。
なお、以下のフォームで、
※
印の項目は入力必須となっています。漏れのないように入力してください。
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お名前
※
姓
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フリガナ
※
姓
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性別
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/> 男性
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/> 女性
年齢
お選びください。
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>１０代
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>７０歳〜７９歳
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>８０歳以上
お住まいの地域
お選びください。
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>秋田県
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>山形県
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>茨城県
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>栃木県
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>東京都
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>新潟県
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>富山県
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>石川県
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>福井県
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>山梨県
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>長野県
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>岐阜県
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>静岡県
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>愛知県
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>三重県
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>滋賀県
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>京都府
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>大阪府
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>兵庫県
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>奈良県
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>和歌山県
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>鳥取県
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>島根県
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>岡山県
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>広島県
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>山口県
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>徳島県
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>香川県
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>愛媛県
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>高知県
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>福岡県
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>佐賀県
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>長崎県
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>熊本県
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>大分県
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>宮崎県
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>鹿児島県
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>沖縄県
電話番号
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メールアドレス
※
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メールアドレス確認
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ご意見・ご提案等
※
お選びください。
( ! )
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>党の政策目標について
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>党の運営について
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>メールマガジンの申込み
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>その他
<br /> <font size='1'><table class='xdebug-error xe-notice' dir='ltr' border='1' cellspacing='0' cellpadding='1'> <tr><th align='left' bgcolor='#f57900' colspan="5"><span style='background-color: #cc0000; color: #fce94f; font-size: x-large;'>( ! )</span> Notice: Undefined index: message in /home/users/1/nipponshinsei/web/nipponshinsei.jp/contact_us/index.php on line <i>286</i></th></tr> <tr><th align='left' bgcolor='#e9b96e' colspan='5'>Call Stack</th></tr> <tr><th align='center' bgcolor='#eeeeec'>#</th><th align='left' bgcolor='#eeeeec'>Time</th><th align='left' bgcolor='#eeeeec'>Memory</th><th align='left' bgcolor='#eeeeec'>Function</th><th align='left' bgcolor='#eeeeec'>Location</th></tr> <tr><td bgcolor='#eeeeec' align='center'>1</td><td bgcolor='#eeeeec' align='center'>0.0005</td><td bgcolor='#eeeeec' align='right'>257048</td><td bgcolor='#eeeeec'>{main}( )</td><td title='/home/users/1/nipponshinsei/web/nipponshinsei.jp/contact_us/index.php' bgcolor='#eeeeec'>.../index.php<b>:</b>0</td></tr> </table></font>
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