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新北家協366捐款表單
捐款366支持家庭照顧者 贈送紅酒禮盒(1瓶)
您也可以認購紅酒一箱4000元(12瓶)
匯款資訊:國泰世華銀行(銀行代號013)
戶名:社團法人新北市家庭照顧者關懷協會
帳號:009-03-500351-4
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姓名
*
Your answer
連絡電話
*
Your answer
捐款金額
*
我要捐款366元(送一份禮盒)
我要捐款732元(送二份禮盒)
我要捐款4000元(認購ㄧ箱12瓶)
Other:
贈品取貨方式
*
自取(板橋區民族路34巷11號or永和區水源街27巷6號2樓)
郵寄( 選郵寄,請在下一題留下姓名/電話/地址)
郵寄地址及收件人姓名/電話
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捐款方式
*
信用卡捐款，網址：
https://reurl.cc/em8OyK
匯款，請匯匯款資訊:國泰世華銀行(銀行代號013)帳號:009-03-500351-4戶名:社團法人新北市家庭照顧者關懷協會
匯款帳號後五碼
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