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Formulir Menjadi Donatur YPA Attafakur
Formulir ini bertujuan untuk mendata komitmen donasi Anda. Terima kasih atas partisipasi Anda dalam mendukung program kami.
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1. Nama Lengkap
*
Your answer
2. Email
*
Your answer
3. Alamat
*
Your answer
4. Nomor Handphone/WhatsApp
Your answer
Komitmen Donatur
Donatur tetap
Donatur tidak tetap
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Nominal Donasi
*
Rp. 10.000;
Rp. 20.000;
Rp. 50.000;
Rp. 100.000;
Other:
Metode Penyaluran
*
Transfer Bank
Jemput Donasi
Datang ke Kantor
Pernyataan Kesediaan
*
Dengan mengisi formulir ini, saya menyatakan ikhlas dan bersedia menjadi donatur untuk YPA Attafakur
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