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入圍者個人基本資料表單
注意:請確實留下正確基本資料,方便日後寄送獎狀
若頒獎當日(12/9)未到者,取消獲獎資格
麻煩請於
(12/4 24:00前)
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是否到現場參加 12/9(五) 決賽
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住址(請務必確實填寫正確)
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電話
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若當天有開車,麻煩請提供車牌號碼,以利大門警衛辨識通行
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