BeClass 線上報名系統
南投縣觀光產業從業人員第三劑疫苗施打意願登記表(第一梯次)
(2022-01-10)
(報名截止)
※
產業別
※
旅宿業者名稱(登記證編號)
※
登記地址
※
希望施打地點(可複選)
原則尊重您的意願安排施打地點，惟考量行政作業及醫療院所可配合時段等條件，本府得視情況調整
魚池或埔里
鹿谷
旅宿登記所在鄉鎮「衛生所」(本府將名冊送衛生所，由衛生所通知您前往施打)
至少勾選1項
※
聯絡人 姓名
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聯絡電話及聯絡人手機
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E-mail
通知施打日期與地點
※※施打疫苗登記名單請一律填寫「團體報名」※※
【注意】上述聯絡人姓名係供本府聯繫使用，倘該聯絡人欲登記施打疫苗，應填寫在「團體名單」中!!
團報資料
§ 請點此處填寫
團體報名
資料
總金額
***
元
(依據人數計費：每人
元)
※目前報名數：42
[
查詢]、[
編修]、[
取消]
※同一承辦人員其他活動報名表
報名截止
感謝您的報名，本梯次已額滿，本府將盡速辦理下一梯次登記，將於「南投旅宿業(官方)」LINE社群通知(該社群僅限領有合法旅宿業登記證之業者或相關公協會加入，個人名稱請填寫「旅宿業名稱」或「公協會名稱」)
加入網址：
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