1%복지재단을 통해 말기질환우를 돕기위한 ＜풀뿌리 모금캠페인신청서＞

<TABLE style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; BORDER-COLLAPSE: collapse; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; mso-table-overlap: never"> <TBODY> <TR> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 532.74pt; PADDING-RIGHT: 1.41pt; HEIGHT: 747.27pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center><?xml:namespace prefix = v /><v:shapetype id=_x0000_t75 coordsize="21600,21600" o:spt="75" o:preferrelative="t" path="m@4@5l@4@11@9@11@9@5xe" filled="f" stroked="f"><v:stroke joinstyle="miter"></v:stroke><v:formulas><v:f eqn="if lineDrawn pixelLineWidth 0"></v:f><v:f eqn="sum @0 1 0"></v:f><v:f eqn="sum 0 0 @1"></v:f><v:f eqn="prod @2 1 2"></v:f><v:f eqn="prod @3 21600 pixelWidth"></v:f><v:f eqn="prod @3 21600 pixelHeight"></v:f><v:f eqn="sum @0 0 1"></v:f><v:f eqn="prod @6 1 2"></v:f><v:f eqn="prod @7 21600 pixelWidth"></v:f><v:f eqn="sum @8 21600 0"></v:f><v:f eqn="prod @7 21600 pixelHeight"></v:f><v:f eqn="sum @10 21600 0"></v:f></v:formulas><v:path o:extrusionok="f" gradientshapeok="t" o:connecttype="rect"></v:path><?xml:namespace prefix = o /><o:lock v:ext="edit" aspectratio="t"></o:lock></v:shapetype><v:shapetype id=_x0000_t75 coordsize="21600,21600" o:spt="75" o:preferrelative="t" path="m@4@5l@4@11@9@11@9@5xe" filled="f" stroked="f"><v:stroke joinstyle="miter"></v:stroke><v:formulas><v:f eqn="if lineDrawn pixelLineWidth 0"></v:f><v:f eqn="sum @0 1 0"></v:f><v:f eqn="sum 0 0 @1"></v:f><v:f eqn="prod @2 1 2"></v:f><v:f eqn="prod @3 21600 pixelWidth"></v:f><v:f eqn="prod @3 21600 pixelHeight"></v:f><v:f eqn="sum @0 0 1"></v:f><v:f eqn="prod @6 1 2"></v:f><v:f eqn="prod @7 21600 pixelWidth"></v:f><v:f eqn="sum @8 21600 0"></v:f><v:f eqn="prod @7 21600 pixelHeight"></v:f><v:f eqn="sum @10 21600 0"></v:f></v:formulas><v:path o:extrusionok="f" gradientshapeok="t" o:connecttype="rect"></v:path><o:lock v:ext="edit" aspectratio="t"></o:lock></v:shapetype><v:shapetype id=_x0000_t75 coordsize="21600,21600" o:spt="75" o:preferrelative="t" path="m@4@5l@4@11@9@11@9@5xe" filled="f" stroked="f"><v:stroke joinstyle="miter"></v:stroke><v:formulas><v:f eqn="if lineDrawn pixelLineWidth 0"></v:f><v:f eqn="sum @0 1 0"></v:f><v:f eqn="sum 0 0 @1"></v:f><v:f eqn="prod @2 1 2"></v:f><v:f eqn="prod @3 21600 pixelWidth"></v:f><v:f eqn="prod @3 21600 pixelHeight"></v:f><v:f eqn="sum @0 0 1"></v:f><v:f eqn="prod @6 1 2"></v:f><v:f eqn="prod @7 21600 pixelWidth"></v:f><v:f eqn="sum @8 21600 0"></v:f><v:f eqn="prod @7 21600 pixelHeight"></v:f><v:f eqn="sum @10 21600 0"></v:f></v:formulas><v:path o:extrusionok="f" gradientshapeok="t" o:connecttype="rect"></v:path><o:lock v:ext="edit" aspectratio="t"></o:lock></v:shapetype><v:shapetype id=_x0000_t75 coordsize="21600,21600" o:spt="75" o:preferrelative="t" path="m@4@5l@4@11@9@11@9@5xe" filled="f" stroked="f"><v:stroke joinstyle="miter"></v:stroke><v:formulas><v:f eqn="if lineDrawn pixelLineWidth 0"></v:f><v:f eqn="sum @0 1 0"></v:f><v:f eqn="sum 0 0 @1"></v:f><v:f eqn="prod @2 1 2"></v:f><v:f eqn="prod @3 21600 pixelWidth"></v:f><v:f eqn="prod @3 21600 pixelHeight"></v:f><v:f eqn="sum @0 0 1"></v:f><v:f eqn="prod @6 1 2"></v:f><v:f eqn="prod @7 21600 pixelWidth"></v:f><v:f eqn="sum @8 21600 0"></v:f><v:f eqn="prod @7 21600 pixelHeight"></v:f><v:f eqn="sum @10 21600 0"></v:f></v:formulas><v:path o:extrusionok="f" gradientshapeok="t" o:connecttype="rect"></v:path><o:lock v:ext="edit" aspectratio="t"></o:lock></v:shapetype> <v:shapetype id=_x0000_t75 coordsize="21600,21600" o:spt="75" o:preferrelative="t" path="m@4@5l@4@11@9@11@9@5xe" filled="f" stroked="f"><v:stroke joinstyle="miter"></v:stroke><v:formulas><v:f eqn="if lineDrawn pixelLineWidth 0"></v:f><v:f eqn="sum @0 1 0"></v:f><v:f eqn="sum 0 0 @1"></v:f><v:f eqn="prod @2 1 2"></v:f><v:f eqn="prod @3 21600 pixelWidth"></v:f><v:f eqn="prod @3 21600 pixelHeight"></v:f><v:f eqn="sum @0 0 1"></v:f><v:f eqn="prod @6 1 2"></v:f><v:f eqn="prod @7 21600 pixelWidth"></v:f><v:f eqn="sum @8 21600 0"></v:f><v:f eqn="prod @7 21600 pixelHeight"></v:f><v:f eqn="sum @10 21600 0"></v:f></v:formulas><v:path o:extrusionok="f" gradientshapeok="t" o:connecttype="rect"></v:path><o:lock v:ext="edit" aspectratio="t"></o:lock></v:shapetype><v:shape style="WIDTH: 134.3pt; HEIGHT: 37.36pt; v-text-anchor: top" id=_x131206672 type="#_x0000_t75"><v:imagedata o:title="EMB00000d68be7b" src="file:///C:\DOCUME~1\spclient\LOCALS~1\Temp\Hnc\BinData\EMB00000d68be7b.jpg"></v:imagedata><?xml:namespace prefix = w /><w:wrap type="topAndBottom"><v:shapetype id=_x0000_t75 coordsize="21600,21600" o:spt="75" o:preferrelative="t" path="m@4@5l@4@11@9@11@9@5xe" filled="f" stroked="f"><v:stroke joinstyle="miter"></v:stroke><v:formulas><v:f eqn="if lineDrawn pixelLineWidth 0"></v:f><v:f eqn="sum @0 1 0"></v:f><v:f eqn="sum 0 0 @1"></v:f><v:f eqn="prod @2 1 2"></v:f><v:f eqn="prod @3 21600 pixelWidth"></v:f><v:f eqn="prod @3 21600 pixelHeight"></v:f><v:f eqn="sum @0 0 1"></v:f><v:f eqn="prod @6 1 2"></v:f><v:f eqn="prod @7 21600 pixelWidth"></v:f><v:f eqn="sum @8 21600 0"></v:f><v:f eqn="prod @7 21600 pixelHeight"></v:f><v:f eqn="sum @10 21600 0"></v:f></v:formulas><v:path o:extrusionok="f" gradientshapeok="t" o:connecttype="rect"></v:path><o:lock v:ext="edit" aspectratio="t"></o:lock></v:shapetype><v:shapetype id=_x0000_t75 coordsize="21600,21600" o:spt="75" o:preferrelative="t" path="m@4@5l@4@11@9@11@9@5xe" filled="f" stroked="f"><v:stroke joinstyle="miter"></v:stroke><v:formulas><v:f eqn="if lineDrawn pixelLineWidth 0"></v:f><v:f eqn="sum @0 1 0"></v:f><v:f eqn="sum 0 0 @1"></v:f><v:f eqn="prod @2 1 2"></v:f><v:f eqn="prod @3 21600 pixelWidth"></v:f><v:f eqn="prod @3 21600 pixelHeight"></v:f><v:f eqn="sum @0 0 1"></v:f><v:f eqn="prod @6 1 2"></v:f><v:f eqn="prod @7 21600 pixelWidth"></v:f><v:f eqn="sum @8 21600 0"></v:f><v:f eqn="prod @7 21600 pixelHeight"></v:f><v:f eqn="sum @10 21600 0"></v:f></v:formulas><v:path o:extrusionok="f" gradientshapeok="t" o:connecttype="rect"></v:path><o:lock v:ext="edit" aspectratio="t"></o:lock></v:shapetype> <v:shapetype id=_x0000_t75 coordsize="21600,21600" o:spt="75" o:preferrelative="t" path="m@4@5l@4@11@9@11@9@5xe" filled="f" stroked="f"><v:stroke joinstyle="miter"></v:stroke><v:formulas><v:f eqn="if lineDrawn pixelLineWidth 0"></v:f><v:f eqn="sum @0 1 0"></v:f><v:f eqn="sum 0 0 @1"></v:f><v:f eqn="prod @2 1 2"></v:f><v:f eqn="prod @3 21600 pixelWidth"></v:f><v:f eqn="prod @3 21600 pixelHeight"></v:f><v:f eqn="sum @0 0 1"></v:f><v:f eqn="prod @6 1 2"></v:f><v:f eqn="prod @7 21600 pixelWidth"></v:f><v:f eqn="sum @8 21600 0"></v:f><v:f eqn="prod @7 21600 pixelHeight"></v:f><v:f eqn="sum @10 21600 0"></v:f></v:formulas><v:path o:extrusionok="f" gradientshapeok="t" o:connecttype="rect"></v:path><o:lock v:ext="edit" aspectratio="t"></o:lock></v:shapetype><v:shape style="POSITION: absolute; WIDTH: 134.3pt; HEIGHT: 37.36pt; v-text-anchor: top; mso-position-vertical-relative: line; mso-position-vertical: absolute; mso-position-horizontal-relative: text; mso-position-horizontal: absolute" id=_x131051640 type="#_x0000_t75"><v:imagedata o:title="EMB00000d68be7e" src="file:///C:\DOCUME~1\spclient\LOCALS~1\Temp\Hnc\BinData\EMB00000d68be7e.jpg"></v:imagedata><w:wrap type="topAndBottom"><img src="https://t1.daumcdn.net/cfile/cafe/267A2D4C51BFA4A115" class="txc-image" width="155" style="WIDTH: 155px; FLOAT: none; CLEAR: none" actualwidth="179" border="0" hspace="1" vspace="1" height="47" id="A_267A2D4C51BFA4A11522EF"/></w:wrap></v:shape> </w:wrap></v:shape> www.siheung1fund.org <v:shapetype id=_x0000_t75 coordsize="21600,21600" o:spt="75" o:preferrelative="t" path="m@4@5l@4@11@9@11@9@5xe" filled="f" stroked="f"><v:stroke joinstyle="miter"></v:stroke><v:formulas><v:f eqn="if lineDrawn pixelLineWidth 0"></v:f><v:f eqn="sum @0 1 0"></v:f><v:f eqn="sum 0 0 @1"></v:f><v:f eqn="prod @2 1 2"></v:f><v:f eqn="prod @3 21600 pixelWidth"></v:f><v:f eqn="prod @3 21600 pixelHeight"></v:f><v:f eqn="sum @0 0 1"></v:f><v:f eqn="prod @6 1 2"></v:f><v:f eqn="prod @7 21600 pixelWidth"></v:f><v:f eqn="sum @8 21600 0"></v:f><v:f eqn="prod @7 21600 pixelHeight"></v:f><v:f eqn="sum @10 21600 0"></v:f></v:formulas><v:path o:extrusionok="f" gradientshapeok="t" o:connecttype="rect"></v:path><o:lock v:ext="edit" aspectratio="t"></o:lock></v:shapetype><v:shape style="POSITION: absolute; WIDTH: 134.3pt; HEIGHT: 37.36pt; v-text-anchor: top; mso-position-vertical-relative: line; mso-position-vertical: absolute; mso-position-horizontal-relative: text; mso-position-horizontal: absolute" id=_x131402528 type="#_x0000_t75"><v:imagedata o:title="EMB00000d68be7e" src="file:///C:\DOCUME~1\spclient\LOCALS~1\Temp\Hnc\BinData\EMB00000d68be7e.jpg"></v:imagedata><w:wrap type="topAndBottom"></w:wrap></v:shape>   《풀뿌리 모금 캠페인 신청서》 「1」. 기부자 정보 <TABLE style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; BORDER-COLLAPSE: collapse; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid"> <TBODY> <TR> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 57.19pt; PADDING-RIGHT: 1.41pt; BACKGROUND: #e3f4e3; HEIGHT: 45.34pt; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center> 성 명</TD> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 98.75pt; PADDING-RIGHT: 1.41pt; HEIGHT: 45.34pt; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center> </TD> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 101.43pt; PADDING-RIGHT: 1.41pt; BACKGROUND: #e3f4e3; HEIGHT: 45.34pt; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center> 주민등록번호 (사업자번호)</TD> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 255.57pt; PADDING-RIGHT: 1.41pt; HEIGHT: 45.34pt; PADDING-TOP: 1.41pt" vAlign=center colSpan=3>    </TD></TR> <TR> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 57.19pt; PADDING-RIGHT: 1.41pt; BACKGROUND: #e3f4e3; HEIGHT: 52.28pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center rowSpan=2> 자택</TD> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 98.75pt; PADDING-RIGHT: 1.41pt; BACKGROUND: #e3f4e3; HEIGHT: 26.14pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center> 주 소</TD> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 357pt; PADDING-RIGHT: 1.41pt; HEIGHT: 26.14pt; BORDER-TOP: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center colSpan=4>   </TD></TR> <TR> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 98.75pt; PADDING-RIGHT: 1.41pt; BACKGROUND: #e3f4e3; HEIGHT: 26.14pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center> 전 화</TD> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 139.74pt; PADDING-RIGHT: 1.41pt; HEIGHT: 26.14pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center colSpan=2>   </TD> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 86.67pt; PADDING-RIGHT: 1.41pt; BACKGROUND: #e3f4e3; HEIGHT: 26.14pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center> 휴대전화</TD> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 130.59pt; PADDING-RIGHT: 1.41pt; HEIGHT: 26.14pt; BORDER-TOP: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center>   </TD></TR> <TR> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 57.19pt; PADDING-RIGHT: 1.41pt; BACKGROUND: #e3f4e3; HEIGHT: 52.28pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center rowSpan=2> 직장</TD> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 98.75pt; PADDING-RIGHT: 1.41pt; BACKGROUND: #e3f4e3; HEIGHT: 26.14pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center> 주 소</TD> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 357pt; PADDING-RIGHT: 1.41pt; HEIGHT: 26.14pt; BORDER-TOP: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center colSpan=4>   </TD></TR> <TR> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 98.75pt; PADDING-RIGHT: 1.41pt; BACKGROUND: #e3f4e3; HEIGHT: 26.14pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center> 전 화</TD> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 139.74pt; PADDING-RIGHT: 1.41pt; HEIGHT: 26.14pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center colSpan=2>   </TD> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 86.67pt; PADDING-RIGHT: 1.41pt; BACKGROUND: #e3f4e3; HEIGHT: 26.14pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center> 팩 스</TD> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 130.59pt; PADDING-RIGHT: 1.41pt; HEIGHT: 26.14pt; BORDER-TOP: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center>   </TD></TR> <TR> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 57.19pt; PADDING-RIGHT: 1.41pt; BACKGROUND: #e3f4e3; HEIGHT: 28.97pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center> 기부유형</TD> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 455.75pt; PADDING-RIGHT: 1.41pt; BACKGROUND: #ffffff; HEIGHT: 28.97pt; BORDER-TOP: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center colSpan=5> <DIV class=txc-moreless less="접기" more="더보기"> ( ) 일반후원  (V) 지정후원 (지정기관) : 시화병원 호스피스 </DIV></TD></TR> <TR> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 57.19pt; PADDING-RIGHT: 1.41pt; BACKGROUND: #e3f4e3; HEIGHT: 45.34pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center> 후원금액</TD> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 238.49pt; PADDING-RIGHT: 1.41pt; HEIGHT: 45.34pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center colSpan=3> 매월                            원 (월 3,000원 이상)</TD> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 86.67pt; PADDING-RIGHT: 1.41pt; BACKGROUND: #e3f4e3; HEIGHT: 45.34pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center> 납부방법</TD> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 130.59pt; PADDING-RIGHT: 1.41pt; HEIGHT: 45.34pt; BORDER-TOP: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center> 자동이체(CMS) * 매월 5일</TD></TR> <TR> <TD style="PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 57.19pt; PADDING-RIGHT: 1.41pt; BACKGROUND: #e3f4e3; HEIGHT: 78.42pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center rowSpan=3> 자동이체 신청사항</TD> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 98.75pt; PADDING-RIGHT: 1.41pt; BACKGROUND: #e3f4e3; HEIGHT: 26.14pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center> 예 금 주</TD> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 357pt; PADDING-RIGHT: 1.41pt; HEIGHT: 26.14pt; BORDER-TOP: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center colSpan=4> 신청 주민등록번호(사업자번호) 명의의 통장</TD></TR> <TR> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 98.75pt; PADDING-RIGHT: 1.41pt; BACKGROUND: #e3f4e3; HEIGHT: 26.14pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center> 은 행</TD> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 357pt; PADDING-RIGHT: 1.41pt; HEIGHT: 26.14pt; BORDER-TOP: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center colSpan=4>   </TD></TR> <TR> <TD style="BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 98.75pt; PADDING-RIGHT: 1.41pt; BACKGROUND: #e3f4e3; HEIGHT: 26.14pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center> 계좌번호</TD> <TD style="BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 357pt; PADDING-RIGHT: 1.41pt; HEIGHT: 26.14pt; BORDER-TOP: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center colSpan=4>   </TD></TR></TBODY></TABLE>   사회복지법인 시흥시1%복지재단에 기부금을 납부하는데 있어 CMS 이체와 관련한 내역을 상기와 같이 신청합니다.     년          월              일     신청자                                 (서명 또는 인)   추천인                                 (서명 또는 인)         사회복지법인 시흥시1%복지재단 귀중 TEL. 031) 435-2351, 2357 FAX. 031) 435-2352 </TD></TR></TBODY></TABLE>

카페정보

시화병원호스피스 완화의료센터

카페 전체 메뉴

▲

카페 게시글

공지사항 1%복지재단을 통해 말기질환우를 돕기위한 ＜풀뿌리 모금캠페인신청서＞

하늘빛 추천 0 조회 35 13.06.18 09:26 댓글 1

게시글 본문내용

다음검색

저작자 표시 컨텐츠변경 비영리

하늘빛
작성자 13.06.18 09:42

첫댓글 <풀뿌리 모금 캠페인 신청서>를 다운 받아 작성하셔서 팩스(031-435-2352)로 보내 주시면 됩니다
여러분의 사랑어린 소중한 따뜻한 차 한잔의 금액이 고통받는 말기환우에게는 큰 위로와 힘과 사랑으로 변화되어 전해진답니다
부디 많은 관심과 배려 사랑을 부어주시기를 바랍니다