研討會(團體)報名表
本表為團體會員報名表,個人報名請至個人報名表(https://forms.gle/Zb3f1wp84DWrPtuu8 )
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Email *
服務單位 *
部門
聯絡地址 *
學員姓名與職稱 *
團體報名聯絡人、職稱與電話 *
餐飲(請指示葷、素個幾份) *
學員行動電話(例: 0912-345678)
繳費方式 *
發票(收據)抬頭與統編 *
備註
個資保護同意書 *
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繳費完成後繳費憑證影本請註明姓名回傳或電郵本學會確認。 本案聯絡人: 秘書 黃玉如小姐  電話: 02-2769-1899   *
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