VQ保護者 報名表&醫療史調查表

◎活動日期:2018年2月1日~2月10日
◎費用:NT$32,000 (含飲食、意外保險,於集合地至活動地點之交通。不含帳篷、睡袋等裝備)
◎活動地點:中南部山區

(僅限已參加過潛近狼祖父傳承之四天四夜靈境追尋者)
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question

    匯款資訊

    中國信託(822) 帳號:0155-333-69054 帳戶名稱:吳瑞彬 活動全額NT$32,000請於活動前一個月繳清。 如於活動前3周取消,將退費NT$24,000;活動前2周取消,恕不退費。
    This is a required question
    This is a required question
    This is a required question
    This is a required question