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[固特異換胎折價券]索取報名表
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U-CAR帳號
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您目前使用的車輛品牌
*
例:nissan、豐田...
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您目前使用的車款
*
例:sentra、altis
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您目前使用的輪胎品牌
*
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您目前使用的輪胎規格
*
(例:15吋、16吋)
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折價券收件人
*
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折價券收件地址:
*
(請註明郵遞區號)
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收件人連絡電話
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手機或住家/公司電話
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收件人email
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