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<strong class="fix12">■ 派遣のお問合せ（派遣ユーザ向けの問合せフォーム）</strong><br>
貴社で派遣の受入れについて、ご検討されていることをご入力ください。<br>
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<td width="31%" height="23" nowrap bgcolor="#FFFFE6" class="fix11">◆ 貴社名</td>
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<input name="貴社名" type="text" id="貴社名" size="30">
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<td height="23" nowrap bgcolor="#FFFFE6" class="fix11"> ◆ 所属部署</td>
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<td height="23" nowrap bgcolor="#FFFFE6" class="fix11"> ◆ 御役職</td>
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<input name="御役職" type="text" id="御役職" size="30">
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<td width="31%" height="23" nowrap bgcolor="#FFFFE6" class="fix11"> ◆ ご担当者氏名</td>
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<td width="31%" height="23" nowrap bgcolor="#FFFFE6" class="fix11"> ◆ 郵便番号</td>
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<td height="23" nowrap bgcolor="#FFFFE6" class="fix11"> ◆ 住所</td>
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<td height="23" nowrap bgcolor="#FFFFE6" class="fix11"> ◆ 電話番号</td>
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<input name="電話番号" type="text" id="電話番号" size="30">
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<td width="31%" height="23" nowrap bgcolor="#FFFFE6" class="fix11"> ◆ E-mail</td>
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<input name="mailaddress" type="text" id="mailaddress" size="30">
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<td height="12" nowrap bgcolor="#FFFFE6" class="fix11"> ◆ 派遣業務の具体的内容</td>
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<textarea name="具体的内容" cols="50" rows="3" id="具体的内容"></textarea>
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<td width="31%" height="12" nowrap bgcolor="#FFFFE6" class="fix11"> ◆ 開始時期</td>
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<input type="submit" value="　送　信　" name="B1">
　
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