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2022表面處理青少年夏令營
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電子郵件地址
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Your answer
姓名
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Your answer
姓別
*
男
女
身份證字號(活動保險使用)
*
Your answer
生日(活動保險使用)
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MM
/
DD
/
YYYY
就讀學校
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Your answer
家長姓名
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Your answer
家長服務單位
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Your answer
聯絡地址
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Your answer
聯絡電話 (家長公司)
*
Your answer
聯絡電話(家長手機)
*
Your answer
用餐
*
葷食
素食
活動費用
會員 $1,000元整
非會員 $1,500元整
弱勢學生免費參加(4個名額，本會保留審核權利)
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會員公司名稱
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感謝您的報名! 報名至額滿為止，基本資料請務必填寫完整，本會將在活動前，以e-mail方式寄發通知給您，和電話聯絡確認。
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