羅東地區水資源回收中心  校園環教宣導
 「Luodong Water Recycling Center-Application for Visit」
※ 參訪申請時間為：週一至週五（星期六、日及國定假日無開放）
※ 備註時段已額滿時，請勿再選同日期的額滿時段
※ 如有疑問請來電洽詢：(03)9606159-129 鍾惠婷小姐
The appointment visit time is Monday to Friday (Saturdays, Sundays and national holidays are not open to visit).
※When the remark time slot is full, please do not select the full time slot on the same date. If you have any questions, please call: (03)9606159-129 Miss Zhong Huiting.
Sign in to Google to save your progress. Learn more
預約月份 / Choose  month *
預約日期 / Choose  date
 *
預約時段 / Choose  period time
 *
請填妥以下聯絡資訊
Contact information
學校(單位)名稱 School (unit) name *
班級 class *
人數  Number of people? *
男生人數？   女生人數？ 　Number of boys？ Number of girls？
聯絡人 Contact person *
聯絡電話 Contact number *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms