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[null,"別記様式１６"]
[]
[null,null,null,"登録車両入替届"]
[]
[]
[null,"東日本高速道路株式会社",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[null,null,null,null,null,null,null,"殿"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"お客様番号",null,null,null,"（",null,null,null,null,null,"‐",null,null,null,null,null,"）"]
[null,null,null,null,null,null,null,null,null,null,null,null,"お客様の",null,null,null,"〒",null,null,null,"‐"]
[null,null,null,null,null,null,null,null,null,null,null,null,"おところ"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"お名前※",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"印"]
[null,null,null,null,null,null,null,null,null,null,null,null,"ＴＥＬ",null,null,null,null,null,null,"‐",null,null,null,"‐"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"（※）",null,"法人（事業協同組合を含みます。）でお申込みの場合は、"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"法人名および代表者名を記入してください。"]
[]
[null,"私は登録車両に入替えが生じましたので、利用約款第２８条の２第２項に基づき、下記のとおり登録を変更し、下記①のカードの再発行を行っていただきたく届け出いたします。なお、カードの再発行に当たっては、利用約款第１１条第３項の定めにより、再発行手数料をお支払いいたします。"]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"記"]
[null,"①現在貸与されている",null,null,null,null,null,null,null,"②　①のカードの",null,null,null,null,null,null,"③　②の登録車両と",null,null,null,null,null,"④　③の車両に"]
[null,"カード番号",null,null,null,null,null,null,null,"登録車両番号",null,null,null,null,null,null,"入れ替える車両の",null,null,null,null,null,"セットアップされた"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"車両番号",null,null,null,null,null,"車載器管理番号"]
[null,"",null,null,null,null,null,null,null,"",null,null,null,null,null,"⇒","",null,null,null,null,null,""]
[null,"",null,null,null,null,null,null,null,"",null,null,null,null,null,"⇒","",null,null,null,null,null,""]
[null,"",null,null,null,null,null,null,null,"",null,null,null,null,null,"⇒","",null,null,null,null,null,""]
[null,"",null,null,null,null,null,null,null,"",null,null,null,null,null,"⇒","",null,null,null,null,null,""]
[null,"",null,null,null,null,null,null,null,"",null,null,null,null,null,"⇒","",null,null,null,null,null,""]
[null,"※窓口会社承認欄（お客様はご記入しないで下さい。）"]
[null,"登録車両入替届を受理いたしました。お客様が、新たに③の車両のカードを受け取るまでの間、①のカードを一時的に③の車両において利用することについて、以下の条件のもとで承認いたします。"]
[]
[]
[null,"　一．本文書による届出内容に誤りがあったことにより生じる一切の責任はお客様が負うこと"]
[null,"　一．①のカードは③の車両以外に利用しないこと"]
[null,"　一．お客様が、新たに③の車両のカードを受け取ったとき、①のカードを直ちに返却すること"]
[]
[null,"東日本高速道路株式会社\n"]
[null,"（※受付時に本文書の写しをお客様にお渡しして下さい。）"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"※窓口会社処理欄（お客様はご記入しないで下さい。）"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"入替処理年月日：",null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[]
[null,"入力漏れチェック未了\r\n（「入力漏れチェック」を押してください。）"]