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趙權正規一輯團購匯款確認單
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姓名
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真實姓名
Your answer
手機
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Your answer
Email
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Your answer
FB暱稱
Your answer
寄送地址
*
Your answer
匯款日期
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月/日
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銀行代碼 (使用無摺此格請填"無摺")
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Your answer
匯款帳號後六碼(使用無摺此格請填局號)
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Your answer
匯款金額
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一張510元
兩張940元
三張1370元
四張1800元
Other:
購買張數 Dark版
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0張
1張
2張
3張
4張
Other:
購買張數 Pop版
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0張
1張
2張
3張
4張
Other:
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