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勝昌15% off 申請表（限年會會員）
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為慶賀針習網與勝昌製藥成為策略聯盟夥伴，即日起，凡針習網的『年會會員』，同時是勝昌（QualiHerb）新客戶或原有45% off 的客戶，可申請額外15% off 折扣。請填寫以下資料以便查核，二個工作日後，即可自行與勝昌聯絡採購！
Last Name
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First Name
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CA Acupuncture License Number
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針習網 網站 user name
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email address
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勝昌製藥 網站
http://qualiherb.com/
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