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LOGICA BREWING CLASS

SMESCO EXHIBITION HALL


SMESCO – KAWASAN SME TOWER, JL. JEND GATOT SUBROTO KAV 94 JAKARTA SELATAN
11 October 2017, time 01.00 pm until 05.00 pm
(REMBUG KOPI NUSANTARA 2017)

REGISTRATION FORM

Name : …………………………………………………………………………………………………….

Adress : …………………………………………………………………………………………………….

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Company /personal : ………………………………………………………………………………………………………

Email/IG/phone/HP : ……………………………………………………………………………………………………..

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Registration fee :

a. IDR 400.000 for SCAI /CLI/ CUSTOMER OF D’EXCELLENT


b. IDR 650 FOR PUBLIC

Fill this form and send back by email to dexcellentcoffee@gmail.com

PLEASE TRASNFER REGISTRATION FEE TO BANK BCA No Account 455 1039727 Tri Yuli Kurniasih, and
WA transcript of bank transfer to 0813 -17282652 or email to dexcellentcoffee@ gmail.com

…………………………., …………………………………..2017

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