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2024.05.01醫治特會報名表
伯特利之家教會
電話: 02-2955-9346
地址: 新北市板橋區三民路二段191號
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姓名
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性別
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男生
女生(建議穿褲子)
連絡電話
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參與人數
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1人(本人)
2
3
4
5
Other:
電子信箱（報名成功寄信通知）
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介紹人
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參與時間(可複選)
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早上10點~12點
下午2點半~5點
晚上6點半~8點半
Other:
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