別讓愛車不開心,只要「視連科」凍蒜!報名表
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U-CAR帳號 *
真實姓名 *
性別 *
年齡 *
聯絡地址 *
縣市
聯絡地址 *
完整地址(請填寫正確,以利後續中獎聯繫)
連絡電話 *
手機
投票選出您理想中最適合您愛車的機種 *
單選
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