光鹽社"讓生命再現光彩"快樂營報名
光鹽社"讓生命再現光彩"快樂營報名表
歡迎女性癌友踴躍參加,名額 40 位請盡早報名. 報名截止日: 8 月 19 日
中文姓名:____________________________________
英文姓名:_______________________________________
聯絡地址:________________________________________________________________________________________
電話:_______________________________E-mail:________________________________癌症名稱:_________________
緊急聯絡人:_______________________________________電話:_____________________________________________
請填寫完並請將報名表及費用$25,一併寄回至光鹽社辦公室 (支票抬頭請寫:Light and Salt Association)
地址:9800 Town Park Dr, Houston, TX 77036
聯絡電話號碼: 713-988-4724 , 281-799-7574
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