課程詢問表單
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學生姓名 *
就讀學校 *
年級 *
聯絡電話(市內電話) *
聯絡電話(手機) *
詢問的課程/科目是? *
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您居住的區域是? *
您要報名的分校為何? *
請問您是如何得知本班各項開課訊息的(可複選)? *
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感謝您撥冗填寫,我們將請專人盡快與您聯絡!
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