現代殤書本《INSIDE MAN》匯款資料
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您的暱稱 *
匯款日期 *
yyyy/mm/dd
轉帳帳號末五碼 *
如果採無摺存款請填寫局號(郵局給的單據上會蓋有郵局戳章,戳章上就有郵局局號)
戶名/匯款人名 *
付款金額 *
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