City Super Gift Card

  • May 2020
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得獎人存聯 city’super 抽獎贈品簽收單 活動名稱 贈品內容

2008 CNY 電子紅包 大樂透 (請勾選)

□ 頭獎:city’super NT$16,888 e-gift card □ 貳獎:city’super NT$8,888 e-gift card □ 三獎:city’super NT$888 e-gift card 得獎人資料

姓名:

中獎編號:

身份證字號: 聯絡電話: 代收稅款

聯絡地址: NT$

(扣繳憑單將於 2008 年底統一寄發)

□ 國民身份證影本確認提供 得獎人確認簽名 服務人員確認簽名 領獎日期

city’super 存聯

2008 /

/

city’super 抽獎贈品簽收單 活動名稱 贈品內容

2008 CNY 電子紅包 大樂透 (請勾選)

□ 頭獎:city’super NT$16,888 e-gift card □ 貳獎:city’super NT$8,888 e-gift card □ 三獎:city’super NT$888 e-gift card 得獎人資料

姓名:

中獎編號:

身份證字號: 聯絡電話: 代收稅款

聯絡地址: NT$

(扣繳憑單將於 2008 年底統一寄發)

□ 國民身份證影本確認提供 得獎人確認簽名 服務人員確認簽名 領獎日期

2008 /

/

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