AG100 北區聯誼會報名表
大會同工： 傳道部電話：02-2595-4477 轉20
聯絡人：蘭郭月霞執事 0932-016-417
郵局劃撥帳號：50042539
戶名：馮春玲
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姓名
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生日
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Month
January
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Day
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身分證字號
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連絡電話
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參加組別 / 性別
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弟兄組
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國中/高中組-女
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幼兒
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9/30以前報名費特價含保險費
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無餐、無抽獎，國中以上，200元
含午餐、抽獎，佔位者，300元
含麥當勞、無抽獎，國小，50元
幼兒無餐，免費
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英文姓名 (NAME)
持外國護照者須另註明(Holders of foreign passports )
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護照號碼(passport No.)
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國籍(nationality)
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備註
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