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["「県広域接種会場」団体予約申し込みシート"]
[]
["団体名"]
["申込責任者名"]
["連絡先","TEL"]
[null,"e-mail"]
[]
["接種希望日","令和　　　年　　　　月　　　日"]
["接種希望時間帯","　　　：　　　　　～　　　　　："]
["接種希望者概数","人"]
[]
["留意事項"]
["１　接種希望時間帯は、1時間あたり30人程度を目処にして記載してください。"]
["２　予約枠は、14時～18時30分の間で30分単位で設定しています。（16時～16時30分には設定がありません。"]
[]
[]
["　"]