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BioLASCO 國際級訓練課程 繳款登記
課程聯絡資訊
聯絡人：周小姐
聯絡電話：02-2651-8669#328
聯絡Email：specialist@biolasco.com.tw
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E-mail
E-mail
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聯絡電話
聯絡電話
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您是否為已完成 114 年度續會之學會會員
?
請協助確認是否完成年度會員資格，以利後續優惠資格確認，謝謝您！
請協助確認是否完成年度會員資格，以利後續優惠資格確認，謝謝您！
您是否為已完成 114 年度續會之學會會員
?
請協助確認是否完成年度會員資格，以利後續優惠資格確認，謝謝您！
請協助確認是否完成年度會員資格，以利後續優惠資格確認，謝謝您！
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是
否
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您的中華實驗動物學會-會員編號?
您的中華實驗動物學會-會員編號?
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您的課程匯款金額?
您的課程匯款金額?
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匯款日期
匯款日期
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匯款帳號後5 碼
匯款帳號後5 碼
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發票開立類別
發票開立類別
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個人發票
公司/機構核銷發票 (請提供發票買受人抬頭與統一編號)
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發票買受人抬頭
發票買受人抬頭
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發票買受人統一編號
發票買受人統一編號
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附註（若此筆匯款包含多名報名者，請提供參加者姓名）
附註（若此筆匯款包含多名報名者，請提供參加者姓名）
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