2022-2023 VEX賽隊付款回填表單 Remittance form
1. 繳費完成請回填以下表單,以利大會確認款項並收據開立。
    After remittance, please fill in this form for our billing and record.
2. 若收據需要分成多張開立,請分開填表單以利區分。
     One reply for one receipt.
Sign in to Google to save your progress. Learn more
Email *
報名費用 Event Price
【2022-2023 VEX IQ Taiwan Open教育型機器人比賽】
  • VEX IQ Taiwan Open校際盃-國中組
    $3,100/隊team
    Deadline: 2022/10/5

  • VEX IQ Taiwan Open校際盃-國小組
    $3,100/隊team
    Deadline: 2022/10/6

  • VEX IQ Taiwan Open公開賽-國中組
    $3,100/隊team
    Deadline: 2022/11/17

  • VEX IQ Taiwan Open公開賽-國小組
    $3,100/隊team
    Deadline: 2022/11/18

  • VEX IQ Taiwan Open國中組
    $3,100/隊team
    Deadline: 2023/1/6

  • VEX IQ Taiwan Open國小組
    $3,100/隊team
    Deadline: 2023/1/6

----------------------------------------------------------------
【2022-2023 VEX V5 Taiwan Open 教育型機器人比賽  
  • VEX V5 Taiwan Open預賽
    $3,600/隊team
    Deadline: 2022/10/19

  • VEX V5 Taiwan Open高中組
    $3,600/隊team
    Deadline: 2022/12/13

  • VEX V5 Taiwan Open國中組
    $3,600/隊team
    Deadline: 2022/12/16
匯款帳戶 Remittance information
  • 帳戶名稱 Account Name:中華資訊與科技教育學會
  • 銀行 Account With Inst:聯邦銀行 中和分行
  • 代號 Code:803
  • 帳號 Account No.:036108000833
賽隊號碼 Team number *
若填多個賽隊號碼,請以 "/" 區隔,並在後面使用( )標註各賽隊報名的賽事。
If paying for over one team, divide different team numbers with "/", and use ( ) to label the paid event.
e.g.  0011A (IQ校際盃-國小組、全國賽-國小組) / 0011B (IQ校際盃-國中組、全國賽-國中組).
付款者姓名 Contact name *
付款人須為年滿 20 歲的成人。
The contact person should be an adult aged twenty and over.
付款者電子信箱 Email *
付款者連絡電話 Phone *
匯款總金額  Amount of remittance *
匯款帳號末五碼 Account number (last five numbers) *
若為臨櫃,請填寫匯款人全名。
Fill in the remitter’s full name if the payment is completed by bank remittance.
匯款日期 Remittance Date *
MM
/
DD
/
YYYY
收據 Receipt
  • 收據將於匯款後15個工作天內(不含假日)寄出。
    Receipt will be sent in 15 business days (excluding weekends or public holidays) after the remittance has been completed.

  • 收據品項會依照各賽隊報名的賽事條列,例如:0011A 賽隊 VEX IQ Taiwan Open校際盃-國中組預賽。
    The receipt would list  each team with the paid events, e.g. #0011A  VEX IQ Taiwan Open校際盃-國中組預賽.                                        
抬頭 Receipt name (個人請提供匯款人全名) *
統一編號 Tax ID number (個人請提供身分證字號) *
收據收件地址 Address *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Cacet.org. Report Abuse