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致习近平主席的公开信签字 (美洲组)
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姓名
*
(请用中文姓名填写)
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出生日
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MM
/
DD
/
YYYY
现居住地: 国家,州(省),市(郡,镇)
*
(请用中文或英文填写)
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原国内所在单位,职称
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Your answer
出国年,月
*
( 例: 1988,3 )
Your answer
电话
( 例:001-609-711-1310 )
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电子邮箱
*
Your answer
签字
*
同意签字
Required
是否同意公开签字者姓名
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No
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