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SAE-TPE 會員匯款回覆單
請詳填以利查詢您的帳款,並儘速寄出您的收據,謝謝!
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Email
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匯款日期
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MM
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DD
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YYYY
匯款時間
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Time
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AM
PM
匯款方式
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ATM轉帳或網路銀行轉帳
金融機構電匯
其他
匯款人姓名
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要開通的SAE會員編號+會員姓名(團體會員請填公司名)
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匯款銀行/金融機構
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匯款帳號後5碼 (以ATM、網路銀行、金融機構轉帳者需填寫,注意並非大會的匯款帳號後5碼)
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匯款金額
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匯款項目(此為收據開立之項目,請慎選)
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入會費
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備註(收據需特別開立之項目時,請填寫)
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收據抬頭全名+統編(請務必填寫完整!)
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收據收件人
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聯絡電話
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收據寄送"郵遞區號"
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收據寄送地址
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