温馨苑心灵医院建设基金 捐款表格 Oasis of Life Donation Form
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姓名(中)
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Name (Eng) *
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公司名称(如适用)Company Name (if applicable)
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捐款收据名称注明
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联络电话 Contact No. *
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传真 Fax
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电邮 Email *
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地址 Mailing Address *
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捐款项目 Donation Options *
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