JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
補申請收據專區
感謝您捐款支持協會 ，如您當初未填寫齊全或是未收到收據想補發的捐款者，麻煩請填下列表單，本協會會再盡快補發給您!!
社團法人中華民國外傷性腦損傷照顧者關懷協會
E-mail: tbip@tbip.org.tw
TEL: 02-26971193
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
您的姓名：(或是單位名稱)
*
Your answer
申請收據表單選項：
*
電子收據(需填E-mail資料)
紙本收據(需填地址資料)
是否同意捐款紀錄上傳國稅局?
*
是
否
身份證字號 / 統一編號：(若要上傳國稅局，請必填此項)
Your answer
請問您捐款的日期是?
*
MM
/
DD
/
YYYY
是否顯示全名於芳名錄?
*
願意
不願意
捐款方式?(若銀行轉帳請填後五碼)
*
Your answer
您的聯絡電話：
*
Your answer
您的通訊地址： (若要紙本收據，請必填此項)
Your answer
留給協會：
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
