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2017雙武爭鋒挑戰賽 退費申請表單
原定6/17、18號雙武爭鋒挑戰賽因報名人數不足，活動將停止辦理並實施全額退費，請各位報名的選手依以下表單填寫，方便協會作業，如有不便，敬請見諒!
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* Indicates required question
1.訂單編號(若不知訂單編號，請填寫聯絡人身分證字號)
*
Your answer
2.退費方式：個人or團體
*
個人退費
團體退費
3.團體名稱
※若為個人退費則免填；(退費款項一律匯至退款聯絡人之帳戶)
Your answer
＊若僅隊中某員需退費請填寫姓名
Your answer
4.退款聯絡人戶名 (需與帳號相符)
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Your answer
5.退款人聯絡電話
*
Your answer
6.退款人電子信箱
*
Your answer
7.退款銀行
*
範例：國泰世華
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退費分行
*
範例：忠孝分行
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9.退款帳號(收款人帳號)
*
不須填入"-"，僅需填入數字即可
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