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[null,"  敏實科技大學(廠商匯款同意書)"]
["茲同意敏實科技大學將現金匯入本公司(行號）所指定之下列金融機構存款帳戶，作為本公司（行號）收受帳款、貨款及其他款項之方式。"]
["公司名稱"]
["統一編號",null,"聯絡電話"]
["銀行帳號"]
["開戶行庫別",null,"開戶分行別"]
["開戶銀行代碼(7碼)"]
["填列日期","       年       月       日"]
["↓存摺封面影印黏貼(掃描)處↓"]
["~(非獨資企業請勿使用私人帳戶)~"]
["~若蒙同意並填列完成請傳送本校出納組~"]
["E-mail:liling@mitust.edu.tw                      "]
["傳真號碼:(03)5926006"]

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