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《包養之道》合作夥伴之填寫表單
此表單之填寫資料皆用於本次申請使用。
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* Indicates required question
您的名字
*
Your answer
您的性別
女
男
Clear selection
您的年齡
20-30歲
31-40歲
41-50歲
51-60歲
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您的居住地址
*
Your answer
您的聯絡電話
*
Your answer
您的方便聯繫時間 ( ex.上午十點、晚上七點過後 .. )
*
Your answer
您目前職業與職務
*
Your answer
是否吃過我們的產品？
*
是
否
您有無代理、經銷的經驗？
*
有
無
有經驗者請填寫過去有代理、經銷的品牌或產品
Your answer
您的發文網址
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