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白河榮家 - 家屬視訊探視預約申請
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* Indicates required question
聯絡人姓名
*
Your answer
聯絡電話(手機)
*
Your answer
Line ID
*
Your answer
家屬的所屬堂隊
*
Choose
忠德堂
孝德堂
仁德堂
愛德堂
家屬姓名
*
Your answer
視訊預約請務必於1天前完成(24小時前)
視訊預約日期
*
MM
/
DD
/
YYYY
視訊預約時間
*
上午 09:00 - 09:20
上午 09:30 - 09:50
上午 10:00 - 10:20
下午 14:30 - 14:50
下午 15:00 - 15:20
下午 15:30 - 15:50
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