Yola Amelia Formulir Pendaftaran Peserta.docx

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December 2019
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FORMULIR PENDAFTARAN PESERTA PROGRAM PEKAN RAYA LAMPUNG 2019 NO. Pendaftaran :

Nama / Grup Alamat Jumlah Personil No. Telp/HP Penanggung jawab

: Yola Amelia : Rawajitu Selatan, Tulang Bawang, Lampung : 1 (Satu) : 081271204444 : Roni Pati Nasarani (081271204444)

Perlombaan yang diikuti : FESTIVAL MUSIC INDIE

STAND UP

COSTPLAY

VOICE OF PEKAN RAYA LAMPUNG

MEWARNAI

GOT TALENT

FESTIVAL QASIDAH CLASIC

FASHION SHOW

KICAU MANIA

BEAT BOX

ENGLISH COMPETITION

DRUMBAND

AUTO CONTEST

Judul Lagu Biaya Pendaftaran

: Egham Ku di Lampung : Rp. 100.000

COOKING CONTES KHAS LAMPUNG

Bebas : Sia - Chandelier

Bandar Lampung , ............................2019 Pendaftar

( ) -------------------------------------------------------------------------------------------------------KWITANSI No. TERIMA DARI

:

UANG SEBANYAK

:

UNTUK PEMBAYARAN

:

TERBILANG Rp.

BANDAR LAMPUNG,..........................2019