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會費轉帳／匯款對帳表單
1、以轉帳／匯款繳交會費者，繳交會費後請填妥此表單，以利收據開立、郵寄。
★轉帳／匯款資訊★
戶名：社團法人台灣生命之窗慈善協會
中國信託商業銀行三重分行
銀行代碼：822
帳號：060540499506
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* Indicates required question
會員姓名
*
Your answer
聯絡電話
*
Your answer
電子郵件
Your answer
轉帳/匯款日期
*
MM
/
DD
/
YYYY
轉帳/匯款金額
*
Your answer
轉帳/匯款帳號後五碼（如為郵政劃撥、無摺存款等，請直接填寫繳費方式）
*
Your answer
收據領取方式
*
不需要寄發
寄發紙本收據
寄發電子收據（須填寫正確電子郵件）
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