教育宣導邀約 / Educational Outreach Invitation
感謝您認同巴克幫的理念,並邀請我們分享收容所狗狗的故事!收到表單以後,巴克幫的同仁會於七個工作天內和您聯繫,還請耐心等候! / Thank you for supporting the mission of Bark Help and inviting us to share the stories of our shelter dogs. After we receive your form, our team will contact you within seven business days. Thank you for your patience.
表單語言 / Form Language
*
請選擇語言 / Please select a language
中文 / Chinese
英文 / English
中文 / English
您的大名(希望我們怎麼稱呼) / Your Name (How would you like us to address you?)
*
您的性別 / Gender
*
生理男 / Male
生理女 / Female
其他 / Other
聯繫電話 / Contact Phone Number
*
電子郵件 / Email
*
example@example.com
您所屬的單位 / Your Affiliated Organization
*
學校/公務機關 / School or Public Institution
企業講座 / Corporate Lecture
媒體邀約 / Media Invitation
其他組織 / Other Organization
辦理形式 / Event Type
*
校園講座/課程 / Campus Lecture or Course
企業活動 / Corporate Event
公益宣導 / Public Service Outreach
外部開放講座 / Open Public Lecture
媒體採訪 / Media Interview
其他 / Other
單位名稱 / Organization Name
*
單位地址 / Organization Address
*
預計參與人數 / Estimated Number of Participants
*
與會者的年齡層大約落在 / Approximate Age Range of Attendees
*
預計辦理日期(請提供三個日期) / Preferred Event Dates (Please provide three dates)
*
預計辦理時間(請填寫三個時段) / Preferred Event Times (Please provide three time slots)
*
Line ID(如果習慣用Line聯繫,歡迎留下資訊) / Line ID (If you prefer to contact via LINE, please leave it here)
有什麼想對巴克幫說的話嗎? / What would you like to say to Bark Help?
提交
Should be Empty: