Request edit access
榮俊果園台南市麻豆埤頭 (訂購單)
紅文旦一箱10斤(約6-7顆),1斤100元(含運費),一箱1千元。您購買一箱,榮俊果園為您捐出200元支持勵馨基金會屏東分事務所。除您的愛心購買捐款外,榮俊果園在此波豪大雨中農損將近4-5成,仍願意做公益讓人感動~邀請大家一起支持!
Email address *
訂購人 *
Your answer
聯絡電話 *
Your answer
台南市麻豆埤頭 榮俊果園
訂購數量(請自行填寫數字例如:2。) *
Your answer
收件人/聯絡電話(若收件人與訂貨人相同不用填寫)
Your answer
送貨地點 *
Your answer
期待到貨日期/白天或晚上(因郵局寄貨~若需貨到付款僅能周一至五9:00-17:00前送貨) *
Your answer
匯款帳號(請填寫匯款後帳號後五碼)/(若需貨到付款僅能周一至五9:00-17:00前送貨)
Your answer
匯款方式:中華郵政:0191366-0598255/戶名:許儷瀞
Your answer
勵馨基金會屏東分事務所/洽詢電話:08-7330955*12洪專員(上班時間周一至五9:00-17:30)
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of 勵馨基金會. Report Abuse