<![CDATA[
<P> </P>
<P>
<TABLE style="BORDER-COLLAPSE: collapse" cellSpacing=1 cellPadding=1 width=600 bgColor=#d6f3f9>
<TBODY>
<TR>
<TD style="BORDER-BOTTOM: #3058d2 1px solid; BORDER-LEFT: #3058d2 1px solid; BORDER-TOP: #3058d2 1px solid; BORDER-RIGHT: #3058d2 1px solid" width="100%"><FONT style="BACKGROUND-COLOR: #d42a1b" color=#ffffff> 고객명:</FONT></TD></TR>
<TR>
<TD style="BORDER-BOTTOM: #3058d2 1px solid; BORDER-LEFT: #3058d2 1px solid; BORDER-TOP: #3058d2 1px solid; BORDER-RIGHT: #3058d2 1px solid" width="100%"> <FONT style="BACKGROUND-COLOR: #d42a1b" color=#ffffff>연락처:</FONT></TD></TR>
<TR>
<TD style="BORDER-BOTTOM: #3058d2 1px solid; BORDER-LEFT: #3058d2 1px solid; BORDER-TOP: #3058d2 1px solid; BORDER-RIGHT: #3058d2 1px solid" width="100%"> <FONT style="BACKGROUND-COLOR: #d42a1b" color=#ffffff>주소:</FONT></TD></TR>
<TR>
<TD style="BORDER-BOTTOM: #3058d2 1px solid; BORDER-LEFT: #3058d2 1px solid; BORDER-TOP: #3058d2 1px solid; BORDER-RIGHT: #3058d2 1px solid" width="100%"><FONT style="BACKGROUND-COLOR: #d42a1b" color=#ffffff> 희망시간:</FONT></TD></TR>
<TR>
<TD style="BORDER-BOTTOM: #3058d2 1px solid; BORDER-LEFT: #3058d2 1px solid; BORDER-TOP: #3058d2 1px solid; BORDER-RIGHT: #3058d2 1px solid" width="100%"><FONT style="BACKGROUND-COLOR: #d42a1b" color=#ffffff> 증상:</FONT></TD></TR></TBODY></TABLE></P>
<P> </P>
<P>위의 형식으로 신청해주세요^^</P>
<P> </P>
<P> </P>
<P> </P>
<P> </P>
<P> </P>
<!-- -->
]]>
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