捐款人資訊
感謝您對向上基金會的關懷與支持，若您是以匯款或轉帳捐款，請填寫以下資訊以便開立收據，謝謝您。
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轉帳日期 *
MM
/
DD
/
YYYY
捐款匯入向上基金會 *
捐款帳號末五碼 *
捐款金額 *
捐款人 *
連絡電話 *
收據開立姓名 *
身份證字號(若您不願意我們將您年度捐款金額上傳國稅局，請填寫不上傳) *
收據郵寄地址(若您不需要收據，請填寫毋須寄送) *
備註(若此筆捐款需開立多張收據，請您備註每張收據的抬頭與金額，謝謝!)
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