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米玥麻糬堂｜合作意願調查表
米玥少量開放加入，請填寫下列資料，我們將盡快與您聯繫。
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姓名
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Your answer
性別
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男
女
生日
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MM
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DD
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YYYY
聯絡電話
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方便聯絡時間(平日/假日/上午/下午/晚上)
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Line or Wechat
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電子信箱
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預定加盟地區為
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開店預算
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股東結構
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獨資
朋友
夫妻
Other:
是否有創業/加盟經驗？(若『是』請概述相關經驗)
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想了解哪些問題
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