FORMULIRPendaftaran Bazar (Booth)

Nama : ..................................................................................

Instansi : ..................................................................................

Tlp. Kantor : ..................................................................................

Tlp. Genggam : ..................................................................................

Alamat kantor : ..................................................................................

Kontak Lainnya : ..................................................................................

Keterangan BoothJenis produk/ Barang : ..................................................................................Nomor Booth : ..................................................................................Fasilitas : ..................................................................................Ukuran : ..................................................................................Ketentuan :

1. Lokasi booth yang dipilih dapat didiskusikan dengan pihak panitia 2. Jika ada perubahan layout dan ukuran booth dari pihak panitia, akan di informasikan kemudian3. Pendaftaran tidak dapat dibatalkan

Jakarta , , 2015

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