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匯款完成表單填寫
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訂單編號
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Your answer
匯款日期
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MM
/
DD
/
YYYY
匯款銀行
*
Your answer
匯款帳號後五碼
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Your answer
有備註的話請告知備註訊息唷
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Your answer
711店到店(填店名)
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Your answer
姓名(收件人)
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Your answer
LINE名稱
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Your answer
電話(收件人)
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Your answer
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