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梅苓內湖教室打擊樂秋季班體驗課程預約
本表單內容僅限於課程諮詢，不會有其他用途。請放心填寫，感謝您~
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* Indicates required question
小朋友姓名
*
Your answer
小朋友出生年月日
*
MM
/
DD
/
YYYY
家長姓名
*
Your answer
連絡電話
*
Your answer
方便聯絡時間
*
14:00-17:00
17:00-21:00
以上皆可
Required
EMAIL信箱
*
Your answer
訊息來源
*
梅苓官網、梅苓FB粉絲專頁
梅苓內湖教室FB粉絲專頁
親友介紹
教室招牌
Other:
預約場次
*
9/5(六) 15:30
9/12(六) 15:30
9/19(六) 15:30
9/27(日) 15:30
Other:
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