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IAPLC Supporter

Please fill the following fields and proceed to the entry confirmation with pressing the "Confirm Entry" buttan.

All fields must filled by ENGLISH Alphabet.
Fields with red asterisk (*) are required.


General Information

Types*

Name*
Name of Shop /
Forum / Club*
Total number of
Forum / Club members
Country*

Adrress, Contacts

Post Code*
Street address*
City*
State / Province*
Agreement* IAPLC may use your address information to plot it on the Google map of IAPLC supporters in order for warming up the contest event, and informing your shops/activities around your country.

Phone number*
E-mail*
*Pleaase make sure your E-mail address is correct.
URL

About Support activities

Activities* Schedule:

Plan:
Online / Otehr Activities Schedule:

Plan:
Targrt number of participants* people
Comments
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