JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
《美好彰化》紙本刊物寄送申請表
Sign in to Google
to save your progress.
Learn more
* Indicates required question
訂閱者姓名
*
Your answer
刊物寄送地址
*
Your answer
電子信箱
*
Your answer
性別
男
女
其他
Clear selection
年齡
20歲以下(含)
21-30歲
31-40歲
41-50歲
51-60歲
61-70歲
71歲以上
Clear selection
透過何種管道得知《美好彰化》
FB
LINE
IG
縣府官網
親友推薦
紙本刊物索取地點
Other:
Clear selection
對本刊物的建議
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
