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臻品植萃體驗套組「五日體內除溼計畫」申請表
臻品植萃內外兼具，為健康打底《五日體內除溼計畫》體驗組：養生花草茶「薰衣草香茶」五包入；每支手機只能申請一次體驗套組，貨到付款150元物流費。
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1. 姓名 (請確實填寫，勿填綽號避免收件錯誤)
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2. 連絡電話 (家裡/手機)，請確實填寫以便聯繫
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3. 收件地址 (請確實填寫)
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4. Email信箱 (以便傳送優惠給您)
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5. 申請《五日體內除溼計畫》體驗組同意書 (勾選後提交)
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已了解收費、貨到付款物流費150元
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