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和融社會基金-單次捐款表格
你捐出的每一分毫，都可以為共融社區帶來希望。
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Name 名稱
*
Your answer
Email 電郵
*
Your answer
Phone 電話
*
Your answer
Receipt Format 收據形式
*
電子收據（請提供正確的電郵地址）
實體收據（請提供正確的郵寄地址）
Other:
Donate 捐贈額
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$100
$200
$300
Other:
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