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「大愛有您，脊刻出發」畫作、藝術品訂購表單
訂購說明:各位大德您好，在收到您的訂購單後，會先確認藝品是否還有現貨或需預購，並由專人聯繫您通知訂購相關事宜，請務必留下正確的聯絡方式，若有疑問歡迎來電洽詢，03-8561825分機15839。
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訂購者大名
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Your answer
聯絡方式(手機、院內分機)
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電子信箱
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訂購商品種類
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畫作
手工藝品
取貨方式
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自行至花蓮慈濟醫院取貨(運費另計)
藝術家郵寄至自家(運費另計，地址請滑至下一項填寫)
宅配地址(運費另計)
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