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Form partisipasi Startup - Social Media Festival 2012
Untuk dapat berpartisipasi di Social Media Festival 2012, mohon dapat mengisi form dibawah ini, data yang kami terima akan dikurasi karena jumlah partisipan terbatas. Apabila anda sudah mengisi melalui form komunitas, anda tidak diwajibkan mengisi fom ini, karena data anda sudah kami terima.
Terima kasih atas partisipasi anda.
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Nama Startup
*
Your answer
Tanggal berdiri Startup
*
Your answer
Deskripsi Startup
*
Your answer
Jumlah user (apabila ada)
Your answer
Alamat situs resmi
*
Your answer
Alamat Facebook
Your answer
Akun Twitter
Your answer
Nama contact person
*
Your answer
Posisi / Jabatan
*
Your answer
Nomor HP
*
Your answer
Alamat Email
*
Your answer
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