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LINE或FB暱稱*(請填寫LINE或FB上的"正確"名稱,名前請加註LINE或FB喔,填不一樣名稱無法聯繫您)例如: LINE華特企劃 或 FB張又允 *
真實姓名 *
電話: *
地址:(需寄送到府者填寫)
匯款日期: *
後五碼:(使用無摺存款者.請告知存款局號) *
匯款金額: *
寄送方式: *
購買的商品明細 *
備註: (如有轉批-貨直發批客者.請告知:不要附上出貨單)
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