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馬哲儒校長紀念專輯募款
感謝您的捐款，請填寫以下資料以利對帳及寄出收據，謝謝您
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化工系畢業級別
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姓名 / 收據抬頭
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請您先寫上您的大名，若要另寫抬頭作報稅使用，請您一起填寫於下方簡答處。
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捐款金額
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收據、紀念專輯及成大化工人的故事寄送地址
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若您不想重複領取紀念專輯/成大化工人的故事，請於填寫地址後備註，謝謝。
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