JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
『能源應用專家』鋰電池x電動車應用 課程報名
上課日期12/25《原價 1,000 / 早鳥價$500》《屬Hi-GEM 團隊實驗室者為$500》
完成報名後請儘速於12/15前完成繳費,即可享早鳥優惠價 , 逾期繳費恕請依原價匯款~~
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
學員姓名
*
Your answer
單位/部門 (學校/科系)
*
Your answer
職稱 (學生請填 博士班/碩士班/大學部; 年級)
*
Your answer
電話(例:0912-345678)
*
Your answer
是否屬Hi-GEM 團隊實驗室者
*
是,Hi-GEM 團隊(請於下題填入 隸屬哪位Hi-GEM老師,以便享有折扣)
否,非屬 Hi-GEM 團隊
屬Hi-GEM 團隊實驗室者,為哪位老師團隊?
Your answer
飲食習慣
*
葷食
素食
發票開立統編
*
否
Other:
備註說明
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Aicsp.org.tw.
Report Abuse
Forms