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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"検査･修理依頼書"]
["◆ご使用条件等の確認のために、お客様に直接お問い合わせをさせていただく場合がございます。",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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"■送料"]
["　 検査・修理依頼書の控えをお手元にお持ちいただけますようお願いいたします。",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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ご返却時の送料は無料です。（特別な発送の場合を除く）"]
[null,"●カップリング･スプロケット等お客様の部品が付いている場合は、当社製品単体でお送りください。"]
[null,"●不具合内容確認のため、現品を分解する場合があります。また、分解状態でご返却する場合があります。",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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"■検査料金"]
[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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"検査は無料です。"]
["■製品情報　　　　　　　　",null,null,null,null,null,"※の項目は必須です。必ずご記入ください。該当する□印にチェックしてください。"]
["依頼内容　※"]
[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,"・お客様からの回答後修理対応いたします。 "]
[]
["製品名　※"]
[]
["製造番号"]
[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,"・製品の銘板に記載の７～１２桁の英数字をご記入ください。"]
[]
["台数　※"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"台"]
[]
["現象　※"]
[]
[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,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[]
["発生状況　※",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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"発生日時：　　　　　　年　　　月　　　日"]
[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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"使用期間：　　□使用後（　　年　　ヶ月　　　日　　時間）　　□初回通電時　　□開梱時　　□不明"]
[]
[]
[]
[]
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[null,null,null,null,null,null,"発生日",null,null,null,null,"：",null,null,null,null,null,"年",null,null,null,null,null,"月",null,null,null,null,null,"日"]
[null,null,null,null,null,null,"過去の発生",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,null,null,null,null,null,null,null,null,null,null,null,"過去の発生",null,null,null,null,"：","有"]
[null,null,null,null,null,null,"発生頻度",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,null,null,null,null,"）",null,null,null,null,null,"発生頻度",null,null,null,null,"：","その他",null,null,null,null,{"$f":"IF(BC37=\"その他\",\"↓その他の場合、記入してください。\",\"\")","v":"↓その他の場合、記入してください。"}]
[null,null,null,null,null,null,"使用期間",null,null,null,null,"：",null,null,null,null,"（",null,null,null,"年",null,null,null,"ヶ月",null,null,null,null,"日",null,null,null,"時間",null,"）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"使用期間",null,null,null,null,"：","使用後",null,null,null,null,null,null,null,{"$f":"IF(BC39=\"使用後\",\"年\",\"\")","v":"年"},null,null,null,{"$f":"IF(BC39=\"使用後\",\"ヶ月\",\"\")","v":"ヶ月"},null,null,null,{"$f":"IF(BC39=\"使用後\",\"日\",\"\")","v":"日"},null,null,null,{"$f":"IF(BC39=\"使用後\",\"時間\",\"\")","v":"時間"}]
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["報告書　※",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"修理注文番号"]
[null,null,null,null,null,null,"検査報告書",null,null,null,null,"：",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"検査報告書",null,null,null,null,"：","要",null,null,null,null,{"$f":"IF(BC42=\"要\",\"報告書宛名 ： \",\"\")","v":"報告書宛名 ： "}]
[null,null,null,null,null,null,"報告書宛名",null,null,null,null,"：",null,null,null,null,null,null,null,null,null,"←検査報告書『要』の場合のみ"]
[]
["納入ルート",null,null,null,null,"　　　　　　　　　　　　　　　　　　　　⇒　　　　　　　　　　　　　　　　　　　　⇒"]
[]
[]
["連絡欄"]
[]
[]
[]
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[null,null,null,null,null,null,"代替品入手状況",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,null,null,null,null,null,null,null,null,null,null,null,"代替品入手状況",null,null,null,null,null,"：","手配購入済み"]
[]
[]
["■販売店様情報　（一報回答連絡先）　　　　　",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"■お客様情報　　　　　　　　"]
["フリガナ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"フリガナ"]
["販売店様名 ※",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ご社名 ※",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,"修理品ご返却先",null,null,null,null,null,null,null,"その他の場合のご返却先"]
["ご所属",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ご所属",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,"送付先",null,null,null,null,"お客様のご連絡先に同じ"]
["役職",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"役職"]
["フリガナ　※",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"フリガナ　※"]
["お名前　※",null,null,null,null,"(姓)",null,null,null,null,null,null,null,"(名) ",null,null,null,null,null,null,null,null,"お名前　※",null,null,null,null,"(姓)",null,null,null,null,null,null,null,"(名) "]
["ご住所　※",null,null,null,null,"〒",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ご住所　※",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,"TEL　※"]
["FAX　※",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"FAX　※"]
["E-mail　※",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"E-mail　※"]
["◆お名刺を貼り付けていただいても結構です。FAXまたはE-mailのどちらか一方は必ずご記入ください。"]
[]
["■受付窓口（現品・依頼書送付先）",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,null,null,"■当社担当営業所名"]
["〒300-2635",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"TEL ： 0120-911-271     "]
["茨城県つくば市東光台5-8-3",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"FAX ： 0120-984-815"]
["オリエンタルモーター株式会社",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"E-mail ： service@orientalmotor.co.jp"]
["アフターサービスセンター　検査・修理受付係"]

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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"検査･修理依頼書"]
["◆ご使用条件等の確認のために、お客様に直接お問い合わせをさせていただく場合がございます。",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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"■送料"]
["　 検査・修理依頼書の控えをお手元にお持ちいただけますようお願いいたします。",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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ご返却時の送料は無料です。（特別な発送の場合を除く）"]
[null,"●カップリング･スプロケット等お客様の部品が付いている場合は、当社製品単体でお送りください。"]
[null,"●不具合内容確認のため、現品を分解する場合があります。また、分解状態でご返却する場合があります。",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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"■検査料金"]
[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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"検査は無料です。"]
["■製品情報　　　　　　　　",null,null,null,null,null,"※の項目は必須です。必ずご記入ください。該当する□印にチェックしてください。"]
["依頼内容　※"]
[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,"・お客様からの回答後修理対応いたします。 "]
[]
["製品名　※",null,null,null,null,"ARM46AC"]
[]
["製造番号",null,null,null,null,"UX1729301"]
[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,"・製品の銘板に記載の７～１２桁の英数字をご記入ください。"]
[]
["台数　※"]
[null,null,null,null,null,null,1,null,null,null,null,null,null,"台"]
[]
["現象　※"]
[]
[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,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[]
["発生状況　※",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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"発生日時：　　　　　　年　　　月　　　日"]
[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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"使用期間：　　□使用後（　　年　　ヶ月　　　日　　時間）　　□初回通電時　　□開梱時　　□不明"]
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[]
[]
[]
[]
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[]
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[null,null,null,null,null,null,"発生日",null,null,null,null,"：",2018,null,null,null,null,"年",1,null,null,null,null,"月",10,null,null,null,null,"日"]
[null,null,null,null,null,null,"過去の発生",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,null,null,null,null,null,null,null,null,null,null,null,"過去の発生",null,null,null,null,"：","有"]
[null,null,null,null,null,null,"発生頻度",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,null,null,null,null,"）",null,null,null,null,null,"発生頻度",null,null,null,null,"：","その他",null,null,null,null,{"$f":"IF(BC37=\"その他\",\"↓その他の場合、記入してください。\",\"\")","v":"↓その他の場合、記入してください。"}]
[null,null,null,null,null,null,"使用期間",null,null,null,null,"：",null,null,null,null,"（",null,null,null,"年",1,null,null,"ヶ月",null,null,null,null,"日",null,null,null,"時間",null,"）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"使用期間",null,null,null,null,"：","使用後",null,null,null,null,null,null,null,{"$f":"IF(BC39=\"使用後\",\"年\",\"\")","v":"年"},null,null,null,{"$f":"IF(BC39=\"使用後\",\"ヶ月\",\"\")","v":"ヶ月"},null,null,null,{"$f":"IF(BC39=\"使用後\",\"日\",\"\")","v":"日"},null,null,null,{"$f":"IF(BC39=\"使用後\",\"時間\",\"\")","v":"時間"}]
[]
["報告書　※",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"修理注文番号",null,null,null,"123456"]
[null,null,null,null,null,null,"検査報告書",null,null,null,null,"：",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"検査報告書",null,null,null,null,"：","要",null,null,null,null,{"$f":"IF(BC42=\"要\",\"報告書宛名 ： \",\"\")","v":"報告書宛名 ： "}]
[null,null,null,null,null,null,"報告書宛名",null,null,null,null,"：",null,null,null,null,null,null,null,null,null,"←検査報告書『要』の場合のみ"]
[]
["納入ルート",null,null,null,null,"　　　〇〇商事　　　　　　　　　　　⇒　　△△株式会社　　　　　　　　　⇒　　株式会社□□"]
[]
[]
["連絡欄"]
[]
[]
[]
[]
[null,null,null,null,null,null,"代替品入手状況",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,null,null,null,null,null,null,null,null,null,null,null,"代替品入手状況",null,null,null,null,null,"：","手配購入済み"]
[]
[]
["■販売店様情報　（一報回答連絡先）　　　　　",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"■お客様情報　　　　　　　　"]
["フリガナ",null,null,null,null,"〇〇ｼｮｳｼﾞ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"フリガナ",null,null,null,null,"ｶﾌﾞｼｷｶﾞｲｼｬ□□"]
["販売店様名 ※",null,null,null,null,"〇〇商事　",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ご社名 ※",null,null,null,null,"株式会社□□",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"修理品ご返却先",null,null,null,null,null,null,null,"その他の場合のご返却先"]
["ご所属",null,null,null,null,"営業部営業課",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ご所属",null,null,null,null,"製造部",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"送付先",null,null,null,null,"お客様のご連絡先に同じ"]
["役職",null,null,null,null,"課長",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"役職"]
["フリガナ　※",null,null,null,null,null,null,"ｵｰｴﾑ",null,null,null,null,null,null,null,"ﾀﾛｳ",null,null,null,null,null,null,"フリガナ　※",null,null,null,null,null,null,"ｵｰｴﾑ",null,null,null,null,null,null,null,"ﾊﾅｺ"]
["お名前　※",null,null,null,null,"(姓)",null,"ＯＭ",null,null,null,null,null,"(名) ",null,"太郎",null,null,null,null,null,null,"お名前　※",null,null,null,null,"(姓)",null,"ＯＭ",null,null,null,null,null,"(名) ",null,"花子"]
["ご住所　※",null,null,null,null,"〒",null,"000-0000",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ご住所　※",null,null,null,null,"〒",null,"000-0000"]
[null,null,null,null,null,"東京都台東区□□１－１",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"東京都渋谷区□□１－１"]
[]
[]
["TEL　※",null,null,null,null,"03-0000-0000",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"TEL　※",null,null,null,null,"03-0000-0000"]
["FAX　※",null,null,null,null,"03-0000-0000",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"FAX　※",null,null,null,null,"03-0000-0000"]
["E-mail　※",null,null,null,null,"*******@************.**.**",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"E-mail　※",null,null,null,null,"*******@************.**.**"]
["◆お名刺を貼り付けていただいても結構です。FAXまたはE-mailのどちらか一方は必ずご記入ください。"]
[]
["■受付窓口（現品・依頼書送付先）",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,null,null,"■当社担当営業所名"]
["〒300-2635",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"TEL ： 0120-911-271     "]
["茨城県つくば市東光台5-8-3",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"FAX ： 0120-984-815"]
["オリエンタルモーター株式会社",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"E-mail ： service@orientalmotor.co.jp"]
["アフターサービスセンター　検査・修理受付係"]

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