宇老大滿貫 團體部分成員退費
本表單須由團體聯絡人填表;適用於初期以團體報名方式並取消部分成員
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Email *
團體名稱 *
聯絡人姓名 *
聯絡人身分證字號(請正確填寫以供核對_ *
聯絡手機 *
銀行簡稱(ex:郵局) *
銀行代碼(3碼) *
銀行帳號(請直接填寫數字,不須空格或"-"符號) *
本次取消之人數 *
申請取消之成員姓名(請用逗點或空格分開) *
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