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2015/6/27 三芝淺水灣淨灘 - 報名表
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* Indicates required question
1. 姓名
*
Your answer
2. 研討班級
*
ex: 北14春008 或 福友(非廣論班學員)
Your answer
3. 介紹人 (福友才需要填寫)
Your answer
4. 手機
*
ex: 0900-100-000
Your answer
5. 電子信箱
*
Your answer
6. 是否可以提供車位?
*
是,我很樂意
否,希求車位
7. 可提供車位數?(開車才需要填寫)
4
3
2
1
Clear selection
8. 如何得知本次活動訊息?
*
廣青社 - 網站
廣青社 - Line群組
廣青社 - Facebook
廣青社 - 粉絲團
廣青社 - Email
親友介紹
Other:
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9. 未來是否希望收到『淨灘』相關活動通知?
*
是
否
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