formulir pendaftaran tour d merapi
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PANITIA LOMBA JELAJAH WISATA VI/ 2002
PANITIA TOUR DE MERAPI 2004
BUKTI PENDAFTARAN PESERTA LEMBAR PANITIA
Dengan ini saya menyatakan ikut sebagai peserta TOUR DE MERAPI 2004
Nama Pilot: .........................................................
Alamat : ..........................................................................
: ..........................................................................
Nama Co Pilot: ...........................................................
Alamat : ..........................................................................
: ..........................................................................
Merek Motor: .......................................................
Nomor Motor: .......................................................
Technical Meeting : ..............................................................
Di ......................................................NOMOR
PENDAFTARANNOMOR
DADA
Bersama ini pula saya lampirkan uang pendaftaran sebesar Rp. 75.000,- (Tujuhpuluh lima ribu rupiah)
Sleman, September 2004
PETUGASCALON PESERTA
PANITIA TOUR DE MERAPI 2004
BUKTI PENDAFTARAN PESERTA LEMBAR PESERTA
Dengan ini saya menyatakan ikut sebagai peserta TOUR DE MERAPI 2004
Nama Pilot: ..........................................................
Alamat : ..........................................................................
: ..........................................................................
Nama Co Pilot: ...........................................................
Alamat : ..........................................................................
: ..........................................................................
Merek Motor: .......................................................
Nomor Motor: .......................................................
Technical Meeting : ..............................................................
Di ......................................................NOMOR
PENDAFTARANNOMOR
DADA
Bersama ini pula saya lampirkan uang pendaftaran sebesar Rp. 75.000,- (Tujuhpuluh lima ribu rupiah)
Sleman, September 2004
PETUGASCALON PESERTA
TECHNICAL MEETING :
20 Sept Kab. Klaten
21 Sept Kab. Boyolali
22 Sept Kab. Magelang
23 Sept Kab. Sleman (Gedung Serbaguna Kab. Sleman) Jam. 14.00 WIB
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