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          <td width="178" align="left"><input name="Fax" type="text" class="form02n" size="25" dataType="Require"  msg="請填寫(xiě)傳真號碼" /></td>
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          <td width="178" align="left"><input name="MobTel" type="text" class="form02n" size="25" dataType="Require"  msg="請填寫(xiě)手機號碼" /></td>
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          <td width="178" align="left"><input name="Email" type="text" class="form02n" size="25" dataType="Require"  msg="請填寫(xiě)電子郵箱" /></td>
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          <td width="95" align="left"><input name="verifycode" type="text" class="form02n" size="13" dataType="Require"  msg="請填寫(xiě)驗證碼" /></td>
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