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2024 築旅-危老重建諮詢登記表
輸入本諮詢表單提交後,將會有危老諮詢客服人員儘速與您做初次的連絡,進一步將交由危老推動師評估,謝謝您!
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* Indicates required question
1- 填表人姓名
*
Your answer
2- 待重建房屋地址:
*
Your answer
3- 聯絡電話:
*
填寫格式如右(範例):0932-XXX-XXX 或 02-XXXX-XXXX
Your answer
4- 通訊地址:
*
同重建房屋地址
其他(自填)
5- 業主年齡
*
40歲以下
41-50歲
51-60歲
61-70歲
71歲以上
Required
6- 從何得知我們?
*
(可複選)
書籍、報章雜誌、電視報導介紹
網路搜尋 - Facebook粉絲團
網路搜尋 - 搜尋關鍵字
網路搜尋 - 官網
熟人推薦
舊客戶回流
Other:
Required
7- 填表人E-mail:
Your answer
8- LINE ID
Your answer
9- 填表人與委託人(地主)的關係:
*
地主或屋主本人(可省略下頁的問題,直接跳至第三頁填寫)
其他
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