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[建改社]_2022建改社員/之友大會_參加調查表
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/姓名/
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/職稱/
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/服務單位/
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/e-mail/
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/連絡電話/
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/聯絡地址/(含郵遞區號)
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/身份證字號/(供保險運用)
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/社員類型/
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/參加會議/(可複選)
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/繳交費用/(可複選)
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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
__________________________
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/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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