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活動報名匯款確認回函
感謝您參與2022優人雲腳指南宮之旅，完成匯款繳費後，請您填寫下列資訊，以便核對您的款項，謝謝。
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姓名
*
Your answer
聯絡電話
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Your answer
電子信箱
*
Your answer
您選擇且具備的資格方案
*
無，報名費 $1,600元
優人之友會員享有9折專屬優惠，報名費 $1,440元
四人同行，85折優惠，報名費 $5,440元 (於報名表填寫同行者姓名)
Other:
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匯款總金額
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Your answer
匯款日期
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MM
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DD
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YYYY
匯款帳號後五碼
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回程交通接駁協助【指南宮→表演36房】
我要搭程
回程自理
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感謝您，待核對確認匯款資訊後，我們會再與您聯繫。
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