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重症與安寧靈性關懷雲端課程-刷卡繳費系統
學員您好:
為保障您的個人資料安全
您以下所填寫的刷卡資料
將會再以人工授權的方式進行刷卡扣款
※並非填寫完送出表單即代表刷卡成功
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姓名
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連絡電話
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信用卡卡號
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卡片有效期(月/年)
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刷卡金額
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初階:1600元
進階:1600元
初階+進階:3200元
初階/三人同行:3200元
進階/三人同行:3200元
初階+進階/三人同行:6400元
發票抬頭
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發票統編(若為二聯式發票請填無)
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發票寄送地址
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