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<div><table width="710" class="txc-table" style="border: currentColor; border-image: none; width: 710px; height: 107px; font-family: gulim; font-size: 10pt; border-collapse: collapse;" border="0" cellspacing="0" cellpadding="0"><tbody><tr><td style="border-width: 1px; border-style: solid; border-color: rgb(234, 45, 45) rgb(248, 190, 190) rgb(234, 45, 45) rgb(234, 45, 45); width: 709px; height: 31px; color: rgb(0, 0, 0); background-color: transparent;" rowspan="1" colspan="10"><p style="text-align: center;"><span style="color: rgb(0, 0, 0);"><strong><span style="color: rgb(241, 95, 95); font-family: Dotum,돋움,sans-serif;"><span style="color: rgb(255, 0, 0); font-family: RixShinySundayD;"><font face="굴림">♥</font></span> ＲＥＳＵＮ<span style="color: rgb(255, 94, 0);"> <span style="color: rgb(255, 0, 0);">-<span style="color: rgb(255, 187, 0);">*</span></span><span style="color: rgb(255, 187, 0);"> </span> </span></span><span style="color: rgb(241, 95, 95); font-family: Dotum,돋움,sans-serif;"><span style="color: rgb(241, 95, 95);">텟 신청서</span><span style="color: rgb(241, 95, 95);"> </span><span style="color: rgb(255, 0, 0); font-family: RixShinySundayD;"><font face="굴림">♥</font></span></span></strong></span></p></td></tr><tr><td style="width: 96px; height: 26px; color: rgb(0, 0, 0); border-right-color: rgb(248, 190, 190); border-bottom-color: rgb(248, 190, 190); border-left-color: rgb(234, 45, 45); border-right-width: 1px; border-bottom-width: 1px; border-left-width: 1px; border-right-style: solid; border-bottom-style: solid; border-left-style: solid; background-color: rgb(255, 231, 231);"><p style="text-align: center;"><span style="color: rgb(0, 0, 0); font-family: Dotum,돋움,sans-serif;"> <span style="color: rgb(241, 95, 95);"><strong>이름</strong></span></span></p></td><td style="width: 67px; height: 26px; color: rgb(0, 0, 0); border-right-color: rgb(248, 190, 190); border-bottom-color: rgb(248, 190, 190); border-right-width: 1px; border-bottom-width: 1px; border-right-style: solid; border-bottom-style: solid; background-color: rgb(255, 231, 231);"><p style="text-align: center;"><span style="font-family: Dotum,돋움,sans-serif;"></span> 이승원</p></td><td style="width: 80px; height: 26px; color: rgb(0, 0, 0); border-right-color: rgb(248, 190, 190); border-bottom-color: rgb(248, 190, 190); border-right-width: 1px; border-bottom-width: 1px; border-right-style: solid; border-bottom-style: solid; background-color: rgb(255, 231, 231);"><p style="text-align: center;"><span style="font-family: Dotum,돋움,sans-serif;"><span style="color: rgb(241, 95, 95); font-family: Dotum,돋움,sans-serif;"><strong>생년월일</strong></span></span></p></td><td style="width: 144px; height: 26px; color: rgb(0, 0, 0); border-right-color: rgb(248, 190, 190); border-bottom-color: rgb(248, 190, 190); border-right-width: 1px; border-bottom-width: 1px; border-right-style: solid; border-bottom-style: solid; background-color: rgb(255, 231, 231);"><p style="text-align: center;"><span style="font-family: Dotum,돋움,sans-serif;">1991년 2월 20일</span> </p></td><td style="width: 85px; height: 26px; color: rgb(0, 0, 0); border-right-color: rgb(248, 190, 190); border-bottom-color: rgb(248, 190, 190); border-right-width: 1px; border-bottom-width: 1px; border-right-style: solid; border-bottom-style: solid; background-color: rgb(255, 231, 231);"><p style="text-align: center;"><span style="font-family: Dotum,돋움,sans-serif;"><span style="color: rgb(241, 95, 95); font-family: Dotum,돋움,sans-serif;"><strong>성별</strong></span></span></p></td><td style="width: 46px; height: 26px; color: rgb(0, 0, 0); border-right-color: rgb(248, 190, 190); border-bottom-color: rgb(248, 190, 190); border-right-width: 1px; border-bottom-width: 1px; border-right-style: solid; border-bottom-style: solid; background-color: rgb(255, 231, 231);"><p style="text-align: center;"><span style="font-family: Dotum,돋움,sans-serif;">남</span></p></td><td style="width: 56px; height: 26px; color: rgb(0, 0, 0); border-right-color: rgb(248, 190, 190); border-bottom-color: rgb(248, 190, 190); border-right-width: 1px; border-bottom-width: 1px; border-right-style: solid; border-bottom-style: solid; background-color: rgb(255, 231, 231);"><p style="text-align: center;"><span style="font-family: Dotum,돋움,sans-serif;"><span style="color: rgb(241, 95, 95); font-family: Dotum,돋움,sans-serif;"><strong>연락처</strong></span></span></p></td><td style="width: 150px; height: 26px; color: rgb(0, 0, 0); border-right-color: rgb(248, 190, 190); border-bottom-color: rgb(248, 190, 190); border-right-width: 1px; border-bottom-width: 1px; border-right-style: solid; border-bottom-style: solid; background-color: rgb(255, 231, 231);" rowspan="1" colspan="3"><p style="text-align: center;"><span style="font-family: Dotum,돋움,sans-serif;">010 5585 0106 </span></p></td></tr><tr><td style="width: 166px; height: 56px; color: rgb(0, 0, 0); border-right-color: rgb(248, 190, 190); border-bottom-color: rgb(248, 190, 190); border-left-color: rgb(234, 45, 45); border-right-width: 1px; border-bottom-width: 1px; border-left-width: 1px; border-right-style: solid; border-bottom-style: solid; border-left-style: solid; background-color: transparent;" rowspan="1" colspan="2"><p style="text-align: center;"><span style="color: rgb(0, 0, 0); font-family: Dotum,돋움,sans-serif;"><strong><span style="color: rgb(241, 95, 95); font-family: Dotum,돋움,sans-serif;">리썬복귀하고싶은한마디</span></strong></span></p><p style="text-align: center;"><span style="color: rgb(0, 0, 0); font-family: Dotum,돋움,sans-serif;"><strong><span style="color: rgb(241, 95, 95); font-family: Dotum,돋움,sans-serif;"></span></strong></span></p></td><td style="width: 204px; height: 56px; color: rgb(0, 0, 0); border-right-color: rgb(248, 190, 190); border-bottom-color: rgb(248, 190, 190); border-right-width: 1px; border-bottom-width: 1px; border-right-style: solid; border-bottom-style: solid; background-color: transparent;" rowspan="1" colspan="2"><p style="text-align: center;"><span style="font-family: Dotum,돋움,sans-serif;">리썬팸에서 활동다시 하고싶네요^^ </span></p></td><td style="width: 85px; height: 56px; color: rgb(0, 0, 0); border-right-color: rgb(248, 190, 190); border-bottom-color: rgb(248, 190, 190); border-right-width: 1px; border-bottom-width: 1px; border-right-style: solid; border-bottom-style: solid; background-color: transparent;" rowspan="1" colspan="1"><p style="text-align: center;"><span style="color: rgb(241, 95, 95); font-family: Dotum,돋움,sans-serif;"><strong>탈퇴사유</strong></span></p></td><td style="width: 254px; height: 56px; color: rgb(0, 0, 0); border-right-color: rgb(248, 190, 190); border-bottom-color: rgb(248, 190, 190); border-right-width: 1px; border-bottom-width: 1px; border-right-style: solid; border-bottom-style: solid; background-color: transparent;" rowspan="1" colspan="5"><p style="text-align: center;"><span style="font-family: Dotum,돋움,sans-serif;">전 리썬팸 해체 </span></p></td></tr><tr><td style="width: 96px; height: 63px; color: rgb(0, 0, 0); border-right-color: rgb(248, 190, 190); border-bottom-color: rgb(234, 45, 45); border-left-color: rgb(234, 45, 45); border-right-width: 1px; border-bottom-width: 1px; border-left-width: 1px; border-right-style: solid; border-bottom-style: solid; border-left-style: solid; background-color: rgb(255, 231, 231);" rowspan="1"><p style="text-align: center;"><span style="color: rgb(241, 95, 95); font-family: Dotum,돋움,sans-serif;"><strong>팸디</strong></span></p></td><td style="width: 613px; height: 63px; color: rgb(0, 0, 0); border-right-color: rgb(248, 190, 190); border-bottom-color: rgb(234, 45, 45); border-right-width: 1px; border-bottom-width: 1px; border-right-style: solid; border-bottom-style: solid; background-color: rgb(255, 231, 231);" rowspan="1" colspan="9"><p style="text-align: center;"> </p></td></tr></tbody></table><p><br></p></div><p><br></p><p><br></p>
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