The version of the browser you are using is no longer supported. Please upgrade to a supported browser.Dismiss

Form Pendaftaran BOOTCAMP NASA
BOOTCAMP diadakan pada bulan Februari, Mei, Agustus 2017 di Yogyakarta

Biaya pendaftaran :
- Peserta baru : Rp. 1.000.000,- (Fas: Hall Meeting, Seminar Kit, Wifi, Room, Breakfast, Lunch, Dinner, Coffee break, Sertifikat, PIN, Baju & Topi BOOTCAMP)
- Alumni / Pendamping : Rp. 700.000,- (Fas: Hall Meeting, Wifi, Room, Breakfast, Lunch, Dinner, Coffee break)


SIlahkan isi form dibawah ini untuk pendaftarannya :

Nama Lengkap
Your answer
Nomor Member NASA / Distributor
Your answer
Asal Stockist
Your answer
Status Peserta
Silahkan pilih salah satu jadwal dikehendaki
Nomor Telpon
Your answer
Setelah mengisi formulir pendaftaran, silahkan melakukan transfer ke Rekening Diamond Network di Bank Mandiri No.Rek. 1-370-011-072655 an./ Joni Riyanto
Setelah transfer mohon segera lakukan konfirmasi ke no. HP. 08112690211 (SMS/WA) untuk verifikasi pendaftaran anda
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms