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["西咸新区农产品区域公共品牌名称和LOGO标识征集 报名表"]
["应征者\n名称","个人","身份证号码",null,"联系电话"]
[null,"单位","组织机构代码",null,"法人姓名"]
[{"$nulls":4},"联系电话"]
["联系地址",{"$nulls":3},"邮编"]
["品牌名称和LOGO标识"]
["创意说明（每项不少于100字，不超过200字）"]
["承诺","  1.本人保证应征作品为本人原创，因此而引起的法律责任由本人承担。\n2.本人同意征集单位不退还和拥有该作品的著作权，同意修改使用。\n                      作者签名：\n                                 2023年     月      日"]
["备注：\n     1.个人名称为自然人真实姓名，与身份证上名字相同；单位名称为工商登记注册的企业或公司名称为准。\n     2.上述报名表除签名必须手写外，其他请打印填写，报名表复印有效。"]

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