FORMULIR KONFIRMASI TRANSFER CLUB AYLA INDONESIA
Nama Lengkap Sesuai Pengisian Pendaftaran *
Plat Nomor Kendaraan Yang Didaftarkan *
NO HANDPHONE / WA *
TRANSFER DARI BANK *
DARI REKENING ATAS NAMA *
NILAI RUPIAH DITRANSFER *
TANGGAL TRANSFER *
MM
/
DD
/
YYYY
Upload Bukti Transfer *
Required
Submit
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