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樂齡自立生活展示中心預約表單
目錄及網站所無法感受到的氛圍與質感,皆能在樂齡自立生活展示中心親身感受,請填寫下方表格預約參觀,將有專人與您聯絡
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* Indicates required question
連絡人姓名
*
Your answer
連絡人電話
*
Your answer
連絡人Email
*
Your answer
團體類別 *
*
公司
社團
醫院
機構
其他
團體名稱
*
Your answer
參訪人數
*
Your answer
參訪人員背景或職稱
*
Your answer
可連絡時段
*
上午
下午
參觀日期
*
MM
/
DD
/
YYYY
參觀時段
*
上午10:00~11:30
下午2:00-3:30
如何獲得訊息? (可複選)
*
網路搜尋
新聞
雜誌
FaceBook
朋友介紹
其他
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