JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
�PATH 2020個案預約表
個案預約辦法&條例:
1. 預約表送出後,將有專人來信與您預約時間
2. 個案預約於匯款入帳後確認名額
3. 欲更改或取消需於個案開始前48小時通知
Sign in to Google
to save your progress.
Learn more
* Indicates required question
姓名
*
Your answer
手機
*
Your answer
Email
*
Your answer
預約個案
*
生物能呼吸 $3500/ 90 min (翻譯+$500)
生物能呼吸個案三次套裝 $9,600 (翻譯每次+$500)
身體會說話 $4000/ 90 min (翻譯+$600)
Required
我需要安排翻譯
請選擇您偏好的通知方式
*
Email
LINE (PATH Line@:
https://line.me/R/ti/p/%40xfn0091l
)
手機
微信
其他
選項 6
Required
若選擇Line,請加入PATH 帳號(
https://line.me/R/ti/p/%40xfn0091l
)後,傳一個貼圖或簡訊。並於以下填入你Line的名稱,我們才知道是你喔!
請填寫你的Line名稱
Your answer
選擇微信者,請填寫微信ID與名稱
Your answer
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
This form was created inside of PATH.
Report Abuse
Forms