BeClass 線上報名系統
【三樓開攝團】~ 百吉星墅莊園螢火蟲
(2023-05-01)
(報名截止)
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姓名
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臉書暱稱
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行動電話
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性別
男
女
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生日
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身分證字號
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EMAIL
※
緊急聯絡人
請務必填寫正確
※
緊急聯絡人電話(請填寫手機號碼)
請填寫緊急聯絡人的手機號碼
※
匯款資訊
是您匯款銀行帳號的後五碼(並不是金融卡的後五碼喔)
戶名:謝國賢 銀行:中國信託南京東路分行（代碼822） 帳號:200533301403
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交通工具
我要自己前往集合地點會合
我要開車，可以協助載人
我沒交通工具，請主辦單位協助安排共乘(付共乘費300元)
其它：
要記得加入【三樓大富翁】喔
你的Line ID
方便主辦單位聯絡活動相關事項
或主動加我好友(ID:0910964141)
※
是否已詳細閱讀行程內容與規範
我已詳讀並同意本次活動的相關規範
團報資料
§ 請點此處填寫
團體報名
資料
總金額
***
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(依據人數計費：每人
元)
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