匯款奉獻
奉獻姓名
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身份證字號
( 若留資料將會把您的年度奉獻總額上傳到國稅局,屆時不需附紙本收據即可列舉扣除
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行動電話
( 09xx-xxxxxx ) 有任何問題將與您聯絡
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匯款日期
MM
/
DD
/
YYYY
單次收據地址 (非必填)
需單次收據者請填寫
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匯入帳號
匯款金額
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您帳號末5碼
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奉獻項目 *
備註
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