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我要報名參加走訪三重．深度小旅行
請填寫完整正確內容，如資料有誤請恕無法完成報名~
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姓名
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聯絡電話
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聯絡信箱
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現在居住地方
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請增寫完整資訊，如：台北市內湖區…
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我想參加梯次
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第五梯次 / 五股溼地-9月8日(六)/16：00~18：00
參加人數
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1
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其他參加人資料
請填入姓名、聯絡信箱及聯絡電話(請填寫正確資料，我們將有專人與您聯絡，謝謝!!)
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