常年會費匯款確認單
請於匯款後再填寫此表單，並務必確認資料無誤。會費收據將於對帳作業完成後寄到您的地址。
匯款銀行:808 玉山銀行 高雄分行
匯款帳戶:0082-940-039-979

戶名:社團法人高雄市牙醫師公會 李明志
※此帳號僅供繳交本會常年會費使用。
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