JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
數位雙生AR實戰班報名表★限額30位,額滿為止★
學費匯款帳戶:腦未來開發股份有限公司
中國信託 (代碼822)
帳戶:495540537606
請匯款後,填寫以下資訊後送出即完成報名
發票/學費諮詢 黃琴扉 0909762111 ; 課程諮詢 柳小姐 (02)6631-6796 。將於開課一週提供課前須知。
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
聯絡人姓名(學員未滿18歲請務必填寫)
Your answer
聯絡人電話(學員未滿18歲請務必填寫)
Your answer
學員姓名
*
Your answer
學員電話
*
Your answer
匯款行庫+轉帳後五碼(EX:台新銀行56789)
*
Your answer
匯款金額
*
8/2、3線上+8/4、5實體班$6880
四日線上班$6000
【團報】2遠距+2實體課程(台南教室) :5880
【團報】遠距 :5000
學員身分證保險使用(報8/4、8/5實體班同學必填)
Your answer
發票寄送地址(課程開課後寄送)
*
Your answer
團報者學員姓名(兩人團報者必填)
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms