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【有意願加入】健康餐飲行列的店家
有意願加入健康餐飲行列的店家您好,為讓民眾在外食時可以有更多的健康餐選擇,本局持續輔導本市的餐飲店家,相關輔導後的店家資訊將更新於「健康飲食運動地圖網」,公開供民眾參閱。
若您有意願由局端進行餐飲的輔導,請您完整填寫下方表單相關資料,完成表單後,後續將透過電話與您聯絡,本局將主動聯絡三次,請您注意來電。
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填表人姓名(如為衛生所請輸入區域+名字)
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Your answer
店家名稱
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Your answer
地址(請詳填)
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Your answer
聯絡人姓名
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Your answer
聯絡人職稱
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Your answer
手機
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Your answer
方便輔導時段(如中午12時至下午3時)
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Your answer
備註(如希望能再與營養師聯繫了解詳情、過去之前多久請電話通知)
Your answer
預加入的店家數量
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一家
兩家
三家
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