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你從何得知MY PLACE的資訊？How did you know about MY PLACE?
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「關懷愛滋」網站 AIDS Concern's Website
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搜尋引擎(如Google,Yahoo) Search Engines (eg Google, Yahoo)
他人介紹 Referred by Others
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姓名 Name
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擬預約日期 Preferred Date (星期日休息 Closed on Sundays)
*
DD
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
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29
30
31
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YYYY
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自選套餐 "Just Check" Plan
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你從何得知MY PLACE的資訊？How did you know about MY PLACE?
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「關懷愛滋」網站 AIDS Concern's Website
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搜尋引擎(如Google,Yahoo) Search Engines (eg Google, Yahoo)
他人介紹 Referred by Others
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12
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MM
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9
10
11
12
/
YYYY
2026
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2022
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2013
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1920
你從何得知MY PLACE的資訊？How did you know about MY PLACE?
*
「關懷愛滋」網站 AIDS Concern’s Website
社交平台 Social Media Sites
訂房app廣告 Ads on Room Booking Apps
搜尋引擎(如Google,Yahoo) Search Engines (eg Google, Yahoo)
他人介紹 Referred by Others
其他(可於備註註明) Others (please specify in Remarks)
備註 Remark
提交 Submit
