2015/9/19 仁愛之家參訪 - 報名表
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1. 姓名 *
2. 研討班級 *
ex. 北13增030 或福友(非廣論班學員)
3. 介紹人 (福友才需要填寫)
4. 手機 *
ex: 0900-100-000
5. 電子信箱 *
6. 如何得知本次活動訊息 ？ *
Required
7. 未來是否希望收到『廣青社』活動訊息？ *
Required
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