Section 1 of 2
2020第22屆學術研討會報名網頁
姓名
姓名
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電子信箱
電子信箱
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請正確填寫，以利取得最新活動訊息
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聯絡手機
聯絡手機
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任職單位或就讀系所 / 職稱或年級
任職單位或就讀系所 / 職稱或年級
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用餐習慣
用餐習慣
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葷食
素食
無須備餐
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Section 2 of 2
活動參與資料
發表身分確認
發表身分確認
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無參與發表，一般與會者
口頭發表者
海報發表者
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活動費用確認
活動費用確認
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會員、已經繳交109年會費， 500元
會員、尚未繳交109年會費， 1500元
非會員、學生身分加入會員，1500元
非會員、一般身分加入會員，2500元
不入會，僅參加本次研討會， 1200元
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繳費狀況
繳費狀況
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已經劃撥上述費用
現場繳交（自備整額）
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收據抬頭
收據抬頭
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抬頭請提供機關單位之完整名稱，收據將於活動當天提供。
不需開立抬頭
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我還有想說的
我還有想說的
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若您有其他想說明或補充的~
無
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