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【環教公民科學家-空氣監測場次】保證金匯款表單
錄取者請於12/26(一)16:00前,
依以下帳戶完成保證金匯款
每位報名者保證金為500元,如活動全程參與,則於當日結束後全額退款
本表單僅供【環教公民科學家-空氣監測場次】錄取者填寫
⭐請務必先完成匯款,再填寫表單⭐
保證金請以匯款方式繳交至以下戶頭:
銀行:臺灣土地銀行 東台北分行
戶名:新視紀整合行銷傳播股份有限公司
帳號:099001012882
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參與者姓名
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請填寫真實全名
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連絡電話
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活動期間,請注意來電
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匯款日期
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MM
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DD
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YYYY
匯款末5碼
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如為現金匯款,請提供匯款時輸入之手機號碼或姓名
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匯款金額
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備註
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