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單身男性男女關係線上諮詢服務報名表單
欲報名諮詢者,請先完成匯款
銀行代號:807(永豐銀行)
帳號:19301800072513
報名金額:2000元
匯款後填寫報名表單,我確認完成就會和你聯繫
感謝你的支持,我們線上見
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報名資訊
姓名
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居住地
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年齡
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想要預約的時段(可複選)
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平日白天
平日晚上
假日白天
假日晚上
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年齡
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身高/體重
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連絡電話
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e-mail
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自我介紹(職業、興趣等等,感情經驗等等,越詳細越好)
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Line ID
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匯款帳號後五碼
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敘述你的問題(越詳細越好)
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填寫完表單,請加入我的 Line 官方帳號 @580ejjbw , 並傳送一個訊息給我
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