2010年新民晚报“爱舒杯”精彩世博国际漫画大赛 报名表

姓名___________________ 拼音 ______________________        
出生年月____________________________性别____________
通讯地址_______________________________________________________________
____________________________________________ 邮编______________________
电话________________________________________ 传真_______________________
电子信箱 _____________________________个人网站___________________________
《城市，让生活更美好》  作品数量____________________________________________
题目  1_____________________2______________________3___________________
4_____________________5______________________6___________________
《自由选题》  作品数量____________________________________________
题目  1_____________________2______________________3___________________
4_____________________5______________________6___________________
个人简历________________________________________________________________ 
_______________________________________________________________________
_______________________________________________________________________  
_______________________________________________________________________
_______________________________________________________________________ 
_______________________________________________________________________
_______________________________________________________________________  
_______________________________________________________________________
_______________________________________________________________________

（本报名表可复制使用！）

作者签名：_______________________

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