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愛廣場設櫃申請單
請填寫真實資訊，避免錯失聯絡時機
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Email
*
Your email
姓名
*
Your answer
性別
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先生
小姐
年齡
*
18歲-25歲
26歲-35歲
36歲-40歲
41歲以上
聯絡電話
*
Your answer
是否來過愛廣場?
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是
否
計畫進駐品牌名稱
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Your answer
預計租期
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短期快閃
長期深耕
假日市集
品牌類別
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餐點類
飲料類
飾品、配件類
服飾類
其他
計畫進駐時間
Your answer
是否有開店經驗
是
否
Clear selection
是否為連鎖品牌
是
否
Clear selection
方便聯繫時段
Your answer
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