會員資料

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會員資料

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姓名 *

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性別 *

男生

女生

西元年/月/日 *

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電話 *

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興趣

看書

聽音樂

旅遊

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上網

攝影

逛街

運動

意見

有什麼意見問題反應在下列表格

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