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活動報名表 Event Registration
場地 Venue：
house by kubrick
地址 Address：
5/F Cityplaza (Cinema Lobby), Taikoo, Hong Kong
電話 Tel：
2336 1150
Instagram / Facebook：
@housebykubrick
@kubrick.hk.2001
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譚卓文 《親親亞洲象》手捏陶泥工作坊
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2022.11.27 (Sun)｜15:00 - 17:00｜名額6個（1位大人+ 1位小朋友）
姓名 Name
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Your answer
性別 Gender
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女 Female
男 Male
其他 Other
年齡 Age
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Under 20
21 - 25
26 - 32
33 - 40
41 - 50
Over 50
職業 Occupation
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Your answer
報名人數 Number of attendee(s)
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Your answer
是否以下會員？Are you an owner of below membership(s)?
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kubrick 會員
MOViE MOViE 戲院
百老匯電影中心 Broadway Cinematheque
None of the above
聯絡電話 Contact Number
*
Your answer
聯絡電郵 E-mail Address
*
Your answer
公司或傳媒機構（如有） Company or Press (If applicable)
Your answer
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