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*Account Type: Golden Indie Music Awards GIMA Impact Award
*Account:
*Email:
*Contact Name: Please fill in given name
*Mobile number:
*Address: State,Province,Region 新北市 宜蘭縣 新竹縣 苗栗縣 南投縣 彰化縣 雲林縣 嘉義縣 屏東縣 花蓮縣 臺東縣 金門縣 澎湖縣 連江縣 新竹市 高雄市 基隆市 臺南市 嘉義市 臺北市 臺中市 桃園市 海外地區(Not in Taiwan) City, Dist.
I have read and accept the "Statement on the Collection and Use of Personal Data by the Bureau of Audiovisual and Music Industry Development, Ministry of Culture", and agree to provide my contact information for use in the Golden Indie Music Awards application, subsequent notifications and communications, and for the organizer and its authorized units to notify me of information about Golden Indie Music Awards events.
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