方舟協會 急難救助申請
申請者大名(志工或申請者本人皆可) *
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狀況描述 *
請描述為什麼需要協助?
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急難申請項目(例如:尿布、三餐費用、瓦斯費...等) *
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聯絡電話 *
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聯繫地址 *
協會工作人員/志工將前往探訪,請務必留下正確地址
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