Formulir Permohonan Kerjasama Mitra Atraksi Wisata

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Dalam Rangka Percepatan Pelaksanaan dan Pengembangan Medical Tourism di Indonesia, kami mengajak para stakeholder medical & Tourism di Indonesia khusus nya di Surabaya Bergabung melalui Platform Digital https://medicaltourism.id dan Apps sudah tersedia di Google Play Store.

Email : halo@medicaltourism.id
Phone : 0811 327 9599 | +62 31 600 38 398

Salam,
Dr. Niko Azhari Hidayat, Sp, BTKV
CEO Medical Tourism Indonesia

Nama Lengkap *

Nama Instansi / Wisata *

Kategori Atraksi Wisata *

Wisata Kuliner

Wisata Alam

Wisata Budaya

Wisata Religi

Wisata Edukasi

Wisata Bahari

Wisata Belanja

Wisata Halal

Theme Park

Other:

Jabatan *

Mohon Tulis Jabatan lengkap : ex: Marketing Manager , General Manager, Director etc

Email *

No Handphone *

Telepon Instansi *

Alamat Website *

Jenis Tiket Masuk, Harga, Fasilitas *

Link Video Company Profile ( Jika Ada)

Contoh Link Youtube : https://www.youtube.com/watch?v=MDhyEvgYRDY

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