匯款通知單
請您將匯款明細通知我們,以便核對,並保障您的權益,謝謝!
姓名
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連絡電話
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電子信箱
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匯款日期
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DD
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YYYY
匯款金額
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匯款方式 (使用ATM轉帳者,請提供您的帳號末五碼及戶名(寫於其他欄),以利核對,謝謝)
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匯款明細 (例:12/18滿月圓1200元+會費1200元)
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備註(請提供您的帳號末五碼)
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