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KLiK >> Member Registration
Silakan mengisi form berikut untuk menjadi anggota KLiK (Komunitas Livina Kaskus).
<B>Syarat untuk menjadi anggota KLiK:</B>
1. Punya ID di Kaskus
2. Punya Livina Series
3. Minimal sudah 5x posting di thread KLiK
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* Indicates required question
ID Kaskus
*
Primary ID di Kaskus
Your answer
Nama
*
Lengkap / Panggilan
Your answer
Alamat Lengkap
*
Your answer
Kota
*
Your answer
Propinsi
*
Your answer
Kode Pos
*
Your answer
No Handphone
*
Your answer
Email
*
Alamat email yang valid
Your answer
Jenis Livina
*
Choose
Silakan dipilih !
Livina XR
X-Gear
Grand Livina
Nomor Polisi
*
Isi "BELUM ADA" jika belum mendapatkan nomor polisi
Your answer
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