Form Pendaftaran Bazar Adff.docx

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FORMULIR PENDAFTARAN BAZAR ADISUTJIPTO DIRGANTARA FOUR FUN 2018

Yang bertandatangan dibawah ini, Nama Lengkap

:

Alamat

:

No. Identitas (KTP/SIM)

:

No. HP

:

Nama Usaha

:

Produk Yang Dijual

:

Daftar Alat dan Kebutuhan

: 1. 2. 3. 4. 5. 6. 7. 8.

Dengan keikutsertaan, peserta menyatakan menerima dan menyetujui semua peryaratan dan ketentuan Panitia Adisutjipto Dirgantara Four Fun 2018.

Yogyakarta,

2018 Peserta

(……………………………........)

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