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國立臺灣師範大學特殊教育中心臺灣特殊育館參觀申請表 (Application Form for Public Group Visits)
聯絡人(Contact Person)：
(一)電話(Telephone)：02-7749-5085 陳小姐(Ms.Chen)
(二)電子郵件(E-mail)：chenulin@ntnu.edu.tw
* Indicates required question
Email
*
Record my email address with my response
申請類別
(Categories of Application)
*
個人申請 (Personal)
團體申請(Group)
姓名/團體名稱
(Name of Contact/Name of Group)
*
Your answer
聯絡電話/電子郵件
(Phone Number/E-mail Address)
*
Your answer
申請參觀日期
(Visiting Date)
*
MM
/
DD
/
YYYY
申請參觀時段 (Visiting Period)
*
週一 上午10:00~11:00
週一上午11:00 ~12:00
週一下午14:00~15:00
週一下午15:00~16:00
週四上午10:00~11:00
週四上午 11:00~12:00
申請參觀人數
(Total Visitors)數字後加人,例1人,5人,10人...等
*
Your answer
是否需要導覽
(Guided Tour)
*
是(Yes)
否(No)
備註或其他必要協助(Remarks or special assistance required)
Your answer
Submit
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