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抹胸
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PTT ID
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姓名
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地址
直寄者必填:縣市請填完整~勿只填"北市"等~另有資訊資訊請括號備註於地址後(直寄者必填)
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郵遞區號
直寄者必填
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電話
範例:0912345678(請勿加"-")
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ez服務店名
僅OK跟萊爾富適用~全家不適用
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ez服務代號
僅OK跟萊爾富適用~全家不適用
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