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【報名系統】請完整填寫資料喔!
【夏日走讀!兩天一夜】7/21(六)~7/22(日) 阿塱壹、五溝水、後灣仔、彩虹農場 環境巡禮
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報名梯次
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7/21(六)~7/22(日) 夏日走讀!
姓名 NAME
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單位/職稱 COMPANY
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手機 CELLPHONE
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格式:09**-920566
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電子信箱 EMAIL
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身分證字號 ID NUMBER
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出生年月日 BIRTH DATE
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使用西元紀年:19**/03/16
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血型
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A
B
O
AB
緊急聯絡人 EMERGENCY CONTACT
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緊急聯絡人電話 EMERGENCY NUMBER
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飲食習慣 DIETARY HABIT
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素(全素、鍋邊素等等)、其他需求(不吃牛肉、豬肉等等),本次巡禮多為海鮮料理。
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住宿需求 ACCOMMODATION
基本價已含住宿,如有特別需求房型需補差額(比如怕打呼),每晚:二人套房+1000、四人套房+1200、四人雅房+800 (數量有限,請來電詢問)
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聯絡地址 ADDRESS
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給主辦單位的一句話
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