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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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>80歳以上
お住まいの地域
お選びください。
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>青森県
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>秋田県
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>茨城県
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>栃木県
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>埼玉県
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>新潟県
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>富山県
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>福井県
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>長野県
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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
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