BeClass 線上報名系統
家圓【4月27日-長照服務人員基本救命訓練課程(CPR+AED)】
(2024-04-27)
(報名截止)
※
姓名
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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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地址
縣/市
基隆市
台北市
新北市
桃園市
新竹市
新竹縣
苗栗縣
台中市
彰化縣
南投縣
雲林縣
嘉義市
嘉義縣
台南市
高雄市
屏東縣
台東縣
花蓮縣
宜蘭縣
澎湖縣
金門縣
連江縣
其它
區域
※
行動電話
※
公司名稱
市話
(
)
#
Email
※
職業類別
照顧服務人員
居家服務督導員
社會工作人師及社會工作員
醫事人員
照顧管理專員及照顧管理督導
長照服務相關計畫之人員
其他
※
CPR小卡是否郵寄？
郵寄請在其他處留下您的郵寄收件地址，報名費自行+30元郵寄掛號費
否，至家圓協會自取 (台中市豐原區豐南街2號12樓)
否，至外埔家圓自取(臺中市外埔區甲后路五段160號)
其它：
※
轉帳帳號後五碼
需完成繳費才可送出報名表。
如不方便轉帳，請現場報名並繳費。
※
發票統一編號
發票需要統一編號者請填寫「完整統編號碼」，不需要者請填「無」
※發票一旦開立不接受重開
※
我已詳閱以上報名表，課程時間、費用、注意事項、退費標準
是
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：39
[
查詢]、[
編修]
、
[X不可取消]
※同一承辦人員其他活動報名表
報名截止
歡迎加入我們的課程公告群組。
會不定時公告課程最新資訊。
請點選以下連結加入社群！
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