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["チャンネル・ユー放送用 原稿"]
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["（両方またはどちらかにチェック）"]
["    音声放送　　          データ放送"]
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["放送日　　　　　　　　　　　    朝　 昼　 夜（希望時間をクリックしてください）※10回まで"]
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["※人名には読み方を必ずつけていただきますようお願いします　例：人名（じんめい）"]
["※その他の漢字も誤読の恐れのある文字には読み方をつけていただきますようお願いします"]
["例：読み方（よみかた）"]
["※400文字以内で入力してください"]
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["送信者のお名前： "]
["ご連絡先電話番号："]