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Form Kedatangan Customer Darmo
Happymee Beauty Care
Sulam Alis, Facial, Eyelash, Nail, Lash Lift
* Indicates required question
Email
*
Record my email address with my response
Nama
*
Your answer
User ID Instagram
*
Your answer
Gender
*
Laki - Laki
Perempuan
No. Whatsapp
*
Your answer
Tanggal Ulang Tahun
*
MM
/
DD
/
YYYY
Kota Tinggal
*
Your answer
Treatment Apa?
Your answer
Berapa harga treatment anda?
*
Isi harga tanpa koma tanpa titik contoh 250000
Your answer
Tanggal Treatment
*
MM
/
DD
/
YYYY
Jam Kedatangan
*
Time
:
AM
PM
Tertarik Pada Sulam Alis?
*
Ya
Tidak
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