FORMULIR PENDAFTARAN

                        FORMULIR PENDAFTARAN

                Peserta Pameran Buku Suryalaya 105

 

Nama*

Nama Perusahaan Penerbitan*

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Email

Pilihan

Alamat*

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Pilihan Stand*

ExecutipVipSedangMini

Check-IN Date/Time*

: 123456789101112 MM / 12345678910111213141516171819202122232425262728293031 DD / 192019211922192319241925192619271928192919301931193219331934193519361937193819391940194119421943194419451946194719481949195019511952195319541955195619571958195919601961196219631964196519661967196819691970197119721973197419751976197719781979198019811982198319841985198619871988198919901991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015201620172018201920202021202220232024202520262027202820292030 YYYY 01234567891011121314151617181920212223 HH 01234567891011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 MM AMPM AM/PM

Pernyataan

Kami bersedia berpartisipasi dalam kegiatan Pameran Buku Tasawwuf yang akan diselenggarakan pada tanggal 1 hingga 10 Oktober 2010, di Pondok Pesantren Suryalaya dengan pilihan sebagai berikut:

Pilihan Stand

3m x 4m   3m x 3m   2,5 x 4  Pilih sesuai kebutuhan dan keinginan anda, harga stand ditentukan oleh panjang dan lebar stand

Harga Stand

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