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京點付款回覆
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訂購人姓名
*
Your answer
訂購人行動電話
*
Your answer
付款方式
*
轉帳
匯款
無摺存款
帳號末五碼 (是金融卡卡號，非信用卡卡號)：
Your answer
填寫當時備註的資料：
Your answer
付款金額
*
Your answer
付款日期 (填寫西元年份，例如：202X)
*
MM
/
DD
/
YYYY
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