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報名表格

Page history last edited by happylosheng@gmail.com 13 years, 4 months ago

反省與轉化

「全球漢生病聚落聯合聲遺、落實安養權利—國際工作坊」報名方式:

 

轉帳帳號:700(郵局代號)-0311919-0058760

劃撥帳號:50050247

戶名:國際愛地芽協會台灣分會

費用:□NT 300元(國際工作坊部分)

NT 400元(含37工作坊後欲參加樂生藝文晚會之費用)

詢問電話:0918-902846(陳彥同)or 0922-938249(邱宜君)

報名用信箱:hansendis.2009@gmail.com

(請轉帳與劃撥者將單據掃瞄or翻拍後,與報名表一併回覆寄至此信箱經確認)

 

報名表格:

反省與轉化

全球漢生病聚落聯合申遺、落實安養權利—國際工作坊

姓名

 

性別

□男性        □女性

報名項目

NT 300元(國際工作坊部分)

NT 400元(含37工作坊後欲參加樂生藝文晚會之費用)

職業

 

年齡

 

聯絡電話

 

E-mail

 

通訊地址

 

是否吃素

 

 

 

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