JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
奇奇一起玩樂趣 訂購表單
『檔期資訊』
開團日:11/1
結團日:11/10
出貨日:11/19
『下單前請注意事項』
★請於11/10前完成填單並且付款
★ 11/19廠商開始出貨*
★訂購完成後非商品瑕疵外無法退款
『匯款資訊』
★匯款資訊
戶名:陳冠尹
銀行代碼:012-2205 (富邦城東分行)
帳號:220168801599
★運費計算
一個地址滿1200免運,未滿的話運費80
Sign in to Google
to save your progress.
Learn more
* Indicates required question
訂購商品
*
Lexngo 環保可拆卸吸管 (四入一組) NT$299
訂購數量(如:+2)
Your answer
基本資料
請務必仔細並正確的填寫,不然收不到喔
FB帳號、名稱(輸入訂購時用的名稱,請100%一樣)
*
Your answer
收件人(請填真實姓名)
*
Your answer
訂購者Email
*
付款成功後,會寄信至該信箱以做憑證
Your answer
聯絡電話
*
Your answer
收件地址
*
Your answer
匯款銀行
*
Your answer
匯款後五碼
*
Your answer
匯款金額(請參考網站下單金額)
*
未滿1200,需含運費匯款
Your answer
匯款日期
*
MM
/
DD
/
YYYY
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms