1219 Event Registration Form
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Email *
您的姓名  Your full name *
聯絡電話  Your mobile number *
We will only call if there is a problem. 我們只會在有問題時才打電話。
您是從何處得知活動消息？  *
Where did you hear about this event?
匯款資訊

請匯款完成報名。匯款時，請在備註欄提供您的帳號後五碼，我們才好跟報名資料核對喔~

銀行代號：012 (台北富邦)

銀行帳號：82120000049586


Please make a payment to reserve your seat. On the payment page, please provide the last 5 digits of your account in the notes section so that we can verify with your registration form.

請提供您的帳號後五碼  *
Please provide the last 5 digits of your account.
所有的費用都會交由餐廳來cover 場地費和餐點費。如果需要報帳的話，我們會請餐廳提供手寫發票。再請您提供 1.公司抬頭 與 2. 統編。  
All the proceeds will go to the restaurant to cover the venue, drinks and snacks. If you need an invoice for reimbursement, we will ask the restaurant to provide a hand-written invoice. Please provide your company name and company registration number.
表單送出時若出現卡住的問題，請往上滑到表單最前端，完成google圖形驗證即可順利送出表單。
A copy of your responses will be emailed to the address you provided.
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