Seminar & Workshop 2015

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31 Juli 2015 19:22:14

[KOP]

 

One Day Seminar and Workshop

                        [Tema kegiatan]

Tuesday, 29 September 2015

 

Registration Form

Please complete this form.

Name                            : _____________________________________________

Occupation                    : _____________________________________________

Institution                      : _____________________________________________

Address                         : _____________________________________________

                                    : Mobile Phone_____________________ Fax: ___________

                                       E-mail  : ______________________________________

 

Seminar and Workshop fee is Rp  300,000 per person (including materials, certificate, snack and lunch).

Payable to Ibu Syamdianita, Bank Account:

                        Bank                            : Bank BNI Cabang Samarinda

                        Account Name                        : Ibu Syamdianita

                        Account No.                 : 0171362250 (IDR)

(please send a copy of payment to fax no 0541-738792 (Att: Ibu Syamdianita) or email to: bbahasaunmul@yahoo.com, cc: mami_roayna@yahoo.com

 

 

 

Thank You!

 

cp :

Ibu Syamdianita

08125344878

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31 Juli 2015 19:19:19
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