JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
BLISS * 夏之戀 * 2013
The 2nd Outing of Bliss 2013
● 注意: 已填寫報名表後，如欲增加同行人數，請重新填寫此報名表，並在備註欄中標明"重新報名,前次報名表作廢"。
● 若欲減少人數或取消報名請在6/16前通知幹部--
● 因為車輛調度原因，此次活動報名人數只收20人左右...
● 青山瀑布前段相當平緩好走,後段石頭有青苔較滑,blisser可依自身狀況選擇只爬前段.
● 大雨備案為十三行博物館等地方(由幹部視天候決定)
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Your E-mail address
*
E-mail 信箱
Your answer
Your English Name
*
英文姓名
Your answer
Your Chinese Name
*
中文姓名
Your answer
Your cellphone number
*
手機號碼
Your answer
Number of Guests who are Blissers
*
是Blisser的參加人數(包含填表人)
Your answer
Number of Guests who are Non-Blisser
*
不是Blisser的參加人數
Your answer
Your Inhabited Area (for car arrangement)
*
你的居住地區(安排車位用) ，例如: 板橋,萬華或捷運站名
Your answer
Your ID (for insurance)
*
身分證字號 (辦保險用)
Your answer
Your Birthday (yyyy/mm/dd) (for insurance)
*
出生年月日 (辦保險用)
Your answer
Company's Name / ID / Birthday (NNN / Axxxxxxxx / yyyy/mm/dd) (for insurance)
同行者的姓名 / 身分證字號 / 出生年月日 (辦保險用, 無同行者免填, 有多位同行者請依序填寫,謝謝)
Your answer
Company's Inhabited Area (for car arrangement)
同行者的居住地區 (安排車位用, 有多位同行者請依序填寫, 無同行者或同行者欲跟填表人在同一區下車者免填)
Your answer
Have car?
*
有無開車
Yes
No
Required
How many seats could you offer to other Blissers?
能提供幾個車位給其他Blisser搭乘?
Your answer
Total fees
*
應繳納金額 - Blisser $500,非Blisser $550 (含晚餐、油錢、保險等，不含中餐)
Your answer
Note
問題與建議
Your answer
*早鳥優惠：為鼓勵大家早睡早起,報名自5/22(三)早上八點起算~(偷跑先填的不算數唷)---前5位報名者,各得現金$50獎勵 (須於5/26之前參加過2013年meeting、報名資料填寫完整) (2013幹部除外)
*注意: 欲取消報名者請於6/16(含)之前通知幹部，沒取消報名且當天沒出席者需繳交$100 愛社捐
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
