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Membership Application Form
'*' is a mandatory field.
User name: *
Password: *
Retype password: *
"Password"&"Re-type password"are not consistent!
E-mail (for login): *
*
I agree with
"POPCON Terms of Service"
!
*is a mandatory field
Chinese Name:
English Name:
Contact phone number:
Date of Birth:
Sex:
Male
Female
Referee's E-mail (if you activate the account successfully,
both you and your referee can earn 20 PopCoins):
Currently studying at (secondary school students only):
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