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20240316 司馬庫斯越嶺古道鴛鴦湖
華南銀行008板新分行，施振榮 175-20-032817-0
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姓名
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姓別
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男
女
身份證號碼
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出生年月日用民國(年.月.日)格式 50.09.28
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手機號碼(格式 0933-129053)
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住址
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緊急連絡人姓名
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與緊急連絡人關係
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緊急連絡人電話
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匯款
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隊員6500
隊友7000
匯款帳號後5碼
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