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Easy web application for maternity card

Inquiries

■ Please read the Privacy Policy"as well as"When using this discount'Please read and agree before filling in.
■ Be sure to enter a valid phone number (home or mobile phone) in the phone number field.
■ It may take time for us to reply, so please contact us by phone if you are in a hurry.
■ Please check your settings (spam settings), etc. so that you can receive reply emails.
■ If you do not receive a reply from us, we apologize for the trouble and ask that you please contact us again.

Maternity Discount Application Form

Application category

Date of Birth
Years Month Day 
Name  ※Required
Example) Hanako Hakodate
Furigana
Example) Hanako Hakodate
Address  ※Required
Postal Code 
Phone  ※Required
E-mail address  ※Required
Maternity discount: Maternal and Child Health Handbook Pregnancy certificate, etc. / License return discount: Driver's record certificate  ※Required
Inquiry details
Please be sure to read the "Privacy Policy" below, and after agreeing, proceed to the confirmation screen.
 Mutual traffic HP top page
TEL. 0138-45-6000
〒041-0812 Hakodate City Showa 2-39-22
Sougo Kotsu Co., Ltd. ℡0138-41-4331 fax0138-41-6657
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