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Formulir Pemesanan

Isikan Formulir Pemesanan Dengan Benar dan Lengkap meliputi :

1.Nama Lengkap Anda
2.Alamat Lengkap
3.Kode Pos
4.No Telepon

5.Tema Blog Anda dengan pilihan sebagai berikut : automotive, acne, diet, accounting, audio sreaming, advertising, aviation, auctions, auto care, babies toddler, bankruptcy, bathroom, beauty, body building,branding, businnes, book marketing, broadband internet, business plan, business loan, car insurance, car buying, credits, cosmetics, cooking, craft, credit cards, cell phone,curency trading, computer pc tips, coffee, college-university,diet, divorce, e bay, digital camera, e-commece, essay, forex strategy, food, forex signal, forex indicators, forex tips, furniture, fishing, fitness, fashion, finance, google, golf, gps, hd tv, holiday, home business, home improvement, internet tips, interior design, investment, kitchen, lcd plasma, lawyer, perfume, pc games, paid survey, pregnancy, publishing, real estate, relationship, search engine optimisation, software, self employment, small business, sports, spyware, travel

Lalu Transfer biaya pemesanan ke rekening kami yaitu :

1. Dewi Purwanti : Bank BCA KCP Wonosobo

No Rekening: 239 034 6517

2. Bambang Subagyo : Bank Mandiri Cabang Wonosobo

No rekening : 136 000 432 72 73


Jika Sudah Harap Konfirmasi ke Harry Nugroho Melalui SMS ke hp :
0857 2990 2324

Lalu Isikan Formulir Di bawah ini dengan benar dan lengkap :