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捐贈人資訊(民眾填寫)
感謝善心人士的捐贈~
因有部分愛心包裹外箱,我們難以辨認
捐贈人資訊,建議您可事先
透過本表單或私訊我們的臉書
,
留下相關資訊,以利於開立捐贈收據。
也歡迎您直接來電通知社工(02-29002612)
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寄件者姓名
*
Your answer
聯絡電話
*
Your answer
聯絡地址
*
收據將以平信寄出,請填寫您可收到捐贈收據的地址。
Your answer
寄件/下單日期
*
MM
/
DD
/
YYYY
捐贈品項
*
Your answer
商家/物流
*
MOMO購物網
/酷彭
/ 藥局商 / 蝦皮....等商家
郵政/大榮/新竹...等物流
Your answer
其他備註
*
1.收據相關:如想以他人名義開立收據,可在此補充
2.可提供包裹相關編號,以利我們辨認
3.若無需備註,可直接填寫無
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