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["福岡パネックス　オーダーシート"]
[]
["弊社"]
["担当営業",{"$nulls":23},"大野城市仲畑1-14-8"]
[{"$nulls":24},"　TEL：092-502-5077"]
["ご依頼日",{"$nulls":5},"年",null,null,"月",null,null,"日",{"$nulls":11},"　FAX：092-502-5080"]
[]
["ご発注者",null,"御社名"]
[]
[null,null,"部　署",{"$nulls":12},"ご担当　　　　　者様名",{"$nulls":12},"様"]
[]
[null,null,"ＴＥＬ",{"$nulls":12},"ＦＡＸ"]
[]
[null,null,"ご住所",null,null,"〒"]
[]
[]
[]
["※↓商品お届け先が、上記登録住所と異なる場合のみ、ご記入下さい"]
[]
["納品先",null,"社名"]
[]
[null,null,"部　署",{"$nulls":12},"ご担当　　　　者様名",{"$nulls":12},"様"]
[]
[null,null,"ＴＥＬ",{"$nulls":12},"ＦＡＸ"]
[]
[null,null,"ご住所",null,null,"〒"]
[]
[]
[]
[]
["①純正品・ノーブランド（ＮＢ）品は新品です。"]
["②再生品は一部、リターン対応とさせて頂く商品がございます。"]
["    (リターンはご使用済カートリッジを回収し、再生して１～２週間程度でお届けします。)"]
[]
["メーカー名",null,null,null,"機械本体型番",null,null,null,"※↓必ずご指定下さい",{"$nulls":7},"※商品型番",{"$nulls":8},"※色・種類",null,null,"※数量"]
[]
["（記入例）\nキャノン",null,null,null,"（記入例）\nLBP2160",null,null,null,"純正 ・ リサイクル ・ NB ・ リターン",{"$nulls":7},"（記入例）　　　　　　　　　　　　　ﾄﾅｰｶｰﾄﾘｯｼﾞ　EP-82　BK",{"$nulls":8},"（記入例）ブラック",null,null,1]
[]
[{"$nulls":8},"純正 ・ リサイクル ・ NB ・ リターン"]
[]
[{"$nulls":8},"純正 ・ リサイクル ・ NB ・ リターン"]
[]
[{"$nulls":8},"純正 ・ リサイクル ・ NB ・ リターン"]
[]
[{"$nulls":8},"純正 ・ リサイクル ・ NB ・ リターン"]
[]
[{"$nulls":8},"純正 ・ リサイクル ・ NB ・ リターン"]
[]
[{"$nulls":8},"純正 ・ リサイクル ・ NB ・ リターン"]
[]
[{"$nulls":8},"純正 ・ リサイクル ・ NB ・ リターン"]
[]
[{"$nulls":8},"純正 ・ リサイクル ・ NB ・ リターン"]
[]
[{"$nulls":8},"純正 ・ リサイクル ・ NB ・ リターン"]
[]
[{"$nulls":8},"純正 ・ リサイクル ・ NB ・ リターン"]
[]
[{"$nulls":8},"純正 ・ リサイクル ・ NB ・ リターン"]
[]
[{"$nulls":7},"◆※の箇所は必須事項となりますので必ずご明記くださいますようお願い申し上げます"]
[{"$nulls":7},"◆インクリボンをご注文のお客様は商品型番、お色、数量のみのご記入でかまいません"]
["使用済カートリッジ回収（無料）有無",{"$nulls":12},"□",null,"あり",null,"□",null,"なし"]
[]
[]
["　　ご注文は12：00までにFAX頂きますようお願いします。それ以降ですと翌日手配になる場合がございますのでご了承下さい"]
[]
[]
["【 備考欄 】"]