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芊億盃退款資料
請各隊確實填妥退款資料，以便後續作業，謝謝。
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參賽組別（例：男子組or混合組）
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隊伍名稱（請填寫報名之名稱）
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聯絡人姓名
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聯絡人電話（退款後會傳簡訊告知）
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銀行、銀行代碼（例：中華郵政700）
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銀行帳號
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