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杉並区低所得世帯エアコン購入等助成金請求書兼口座振替依頼書
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This form is used to claim the Suginami Ward Low-Income Household Air Conditioner Purchase Subsidy and request a direct debit. The applicant, Suginami Hanako, requests ¥98,000 with installation completed on Reiwa 8, July 1. Bank account details and optional retailer delegation are filled in and submitted to the Ward Mayor.
| What | エアコン購入等助成金の請求と口座振替依頼 |
|---|---|
| Who | 杉並花子（申請者）および必要に応じて販売店（杉並電気 高井戸店） |
| When | 令和8年7月1日（申請日・設置完了日） |
| Where | 杉並区（申請者住所：阿佐谷南1-15-1 杉並荘101） |
| How | 申請者が必要事項を記入し、銀行口座情報や販売店委任情報を記載して区長宛に提出する。 |
| Deadline | 記載なし |
| Contact | 電話番号 090-9999-9999 |
Open the original PDF ↗ 1 pages
Source page: https://www.city.suginami.tokyo.jp/s042/news/25347.html
Checked 2026-11-01. This page restates the PDF in a fixed structure; nothing is added or removed. Where the PDF does not say, the field reads "not stated". The original Japanese PDF is authoritative — confirm dates and conditions there.