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捐助人資料
感謝您的幫助，請協助填寫資料以利帳務核對與對外徵信，非常感謝~
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捐款人姓名
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捐款人聯繫電話
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捐款金額
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帳號末5碼
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聯絡地址
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公司收據統編 或 個人報稅憑證(身分證)
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捐款徵信不公開 / 依個人資料保護法辦理
徵信不公開 --- 依法規定仍需出現部分名稱 如： O 先生
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