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FAXでのお申し込み方法 - グラッチェ

FAXでのお申し込み方法

下記のお申し込み書をダウンロードして頂き、プリントアウト後内容を書き込んでFAXしてください。
わからない事などはお問い合わせの覧にご記入下さい。
FAXを受け取った後24時間以内にご連絡させて頂きます。(但し、土日祝は受付が遅くなる場合がございます。)
 
fax番号
ファックス fax用紙診療 看護

ダウンロードできない場合はお手数ですがお電話頂きお申し込み下さい。

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