Section 1 of 1
[建改社]_2022建改社員/之友大會_參加調查表
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/時間_2022/11/27(日)
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/地點_桃園美術館願景館
_地標:25.003108, 121.206749
_全家中壢青塘店/文德路對面/高鐵南路二段_文德路口
_捷運桃園體育園區站(A19)/步行5分鐘
__________________________________ /行程/
A/ 11:00_建改理監事會議 _(成員02/03)
B/ 13:30_建改社員/之友大會_(成員01/02/03/04/05)
C/ 16:30_參訪:桃園美術館 _(成員01/02/03/04/05)
導覽:賴宇亭 局長/石昭永 建築師
D/ 18:00_晚餐_(成員01/02/03/04/05)
__________________________________ /成員/
01/ 現任社員(繳交年費)
02/ 現任理事(繳交年費)
03/ 現任監事(繳交年費)
04/ 榮譽社員(歷任理監事/顧問...)
05/ 建改之友(免繳年費/繳活動費)
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/帳戶/
822中國信託(龍江分行2282)
戶名:建築改革社
帳號:282540015111
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/姓名/
/姓名/
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/職稱/
/職稱/
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/e-mail/
/e-mail/
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/聯絡地址/(含郵遞區號)
/聯絡地址/(含郵遞區號)
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/身份證字號/(供保險運用)
/身份證字號/(供保險運用)
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/社員類型/
/社員類型/
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01/ 現任社員(繳交年費)
02/ 現任理事(繳交年費)
03/ 現任監事(繳交年費)
04/ 榮譽社員(歷任理監事/顧問...)
05/ 建改之友(免繳年費/繳活動費)
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/參加會議/(可複選)
/參加會議/(可複選)
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A/ 11:00_建改理監事會議_(成員02/03)
B/ 13:30_建改社員/之友大會_(成員01/02/03/04/05)
C/ 16:30_參訪:桃園美術館/_(成員01/02/03/04/05)
D/ 18:00_晚餐_(成員01/02/03/04/05)
E/不克參加
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/繳交費用/(可複選)
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(類型01/02/03)_繳交年費_2,000/年
(類型05)_繳交本次活動費_8,00元/次
/額外捐款/請於次格填寫金額
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/額外捐款/
金額
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/線上已繳費帳號末五碼/(預定現場繳交者免填)
__________________________
__________________________
銀行_822中國信託(龍江分行2282)
戶名_建築改革社
帳號_282540015111
__________________________
戶名_建築改革社
帳號_282540015111
__________________________
/線上已繳費帳號末五碼/(預定現場繳交者免填)
__________________________
__________________________
銀行_822中國信託(龍江分行2282)
戶名_建築改革社
帳號_282540015111
__________________________
戶名_建築改革社
帳號_282540015111
__________________________
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/收據統編/(預定現場繳交者仍可預填)
/收據統編/(預定現場繳交者仍可預填)
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/收據抬頭/(預定現場繳交者仍可預填)
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