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<title>訂購單</title>
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<p align="center"><font size="6" color="#FFFF00">客家兒童文教CD套餐</font></div>
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<table cellSpacing="0" cellPadding="0" width="600" align="center" border="0" id="table6">
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<td><a target="_blank" href="http://www.yuyuhakka.org.tw">
<img height="163" alt="" src="http://www.jet-mails.com/edm/04081/yuyu_01.gif" width="600" border="0"></a></td>
</tr>
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<td><a target="_blank" href="http://www.yuyuhakka.org.tw">
<img height="222" alt="" src="http://www.jet-mails.com/edm/04081/yuyu_02.gif" width="600" border="0"></a></td>
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<td><a target="_blank" href="http://www.yuyuhakka.org.tw">
<img height="367" alt="" src="http://www.jet-mails.com/edm/04081/yuyu_03.gif" width="600" border="0"></a></td>
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<a target="_blank" href="http://www.jet-mails.com/edm/04081/order.htm">
<img height="448" alt="" src="http://www.jet-mails.com/edm/04081/yuyu_04.gif" width="600" border="0"></a></td>
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<span class="style34 style1"><font color="#800000" size="4">訂購單</font></span></div>
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<td bgColor="#13da59">
<div align="center">
<form method="post" action="http://f2m.idv.tw/f2m.php?F=1104732828">
<input type="hidden" value="幼幼客家訂單" name="SOB">
<table id="table7" width="546" align="center" border="1">
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<div align="left">
<font size="2">姓名：</font></div>
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<div align="left">
<span class="style34">
<input id="姓名3" maxLength="4" size="16" name="姓名">
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<div align="left">
<font size="2">電話：</font></div>
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<div align="left">
<span class="style34">
<input id="電話4" maxLength="14" size="16" name="電話">
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<td width="61">
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<div align="left">
<font size="2">行動：</font></div>
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<td width="165">
<div align="left">
<span class="style34">
<input id="行動" maxLength="15" size="16" name="行動">
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<td width="106">
<div class="style35" align="right">
<div align="left">
<font face="新細明體" size="2">訂購套數</font><font size="2">：</font></div>
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<td colSpan="2">
<div class="style34" align="left">
<span class="style26"><span class="style27">
<span class="style12"><span class="style28">
<span class="style29">
<font face="標楷體" color="#800000"><b>
<input size="3" name="套數"> </b>
<font face="新細明體" size="2">套</font></font> </span>
</span></span></span></span></div>
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<td>收據：</td>
<td colSpan="4"><span class="style3">
<input type="radio" value="請開收據" name="收據"> 請開收據
<input type="radio" CHECKED value="不必開收據" name="收據">
不必開收據</span></td>
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<tr borderColor="#ffffff" bgColor="#13da59">
<td width="61">
<div class="style35" align="right">
<div align="left">
<font size="2">E-MAIL：</font></div>
</div>
</td>
<td colSpan="4">
<div align="left">
<span class="style34">
<input id="E-MAIL" maxLength="45" size="45" name="E-MAIL">
</span></div>
</td>
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<td><font size="2">幼幼套餐：</font></td>
<td colSpan="4"><select name="select">
<option value="幼幼套餐1300元送客家新曲獎得獎作品集" selected>
幼幼套餐1300元送客家新曲獎得獎作品集</option>
<option value="幼幼套餐1000元">幼幼套餐1000元</option>
</select></td>
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<tr borderColor="#ffffff" bgColor="#13da59">
<td><span class="cs"><font face="新細明體" size="2">寄送地址</font><font size="2">：</font></span></td>
<td colSpan="4"><font face="標楷體" color="#800000">
<input size="60" name="寄送地址"> </font></td>
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<td><font face="新細明體" size="2">備註</font><font size="2">：</font></td>
<td colSpan="4"><font face="標楷體" color="#800000">
<input size="60" name="備註"> </font></td>
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<td colSpan="5">
<div class="style34" align="left">
</div>
<div align="center">
<input id="SohoMall確認" type="submit" value="確認" name="SohoMall確認">
<span class="style26"><span class="style25">
<span class="style27"><span class="style12">
<span class="style28"><span class="style29">
<input type="reset" value="重來" name="Submit"> </span>
</span></span></span></span></span></div>
</td>
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<span class="style5">
<a href="mailto:yu771200@yahoo.com.tw?subject=uu取消訂閱廣告信電子報">
拒絕再收到此信</a></span>
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