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FORMULIR BERLANGGANAN MAJALAH BERITA MINGGUAN
Mohon diisi dengan Hurus Cetak
DATA PELANGGAN
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Nama Pelanggan
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Alamat Pengiriman
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Rumah
Kantor
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Telp. Rumah
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Handphone
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CARA PEMBAYARAN
Transfer Bank : BCA Cab. Sudirman A/n PT. Era Media Informasi ACC. 035.300040.1
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