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漢新月刊/新象週刊 兒童青少年繪畫比賽 報名表
日期 Date (MM/DD/YYYY)
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英文名字 First Name
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英文姓 Last Name
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年齡 Age
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住址 Street Address
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住址 Address Line 2
城市 City
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州 State
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Alabama
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Washington DC
郵碼 Zip Code
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電話 Phone Number
電子郵件地址 E-Mail
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你所在的學校(或私人繪畫班) School Name
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參賽作品的題目 Title
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作品尺寸 Size
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作品使用的畫材顏料 Media Type
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簡要介紹 (不超過50個字) Short Description (no more than 50 English words)
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0/50 words
作品圖像檔上傳 File Upload (Max file size 10MB)
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報名費 Registration Fee
報名費
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$10.00
Credit Card Information
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