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REGISTRATION FORM
Name : …………………………………………………………………………………………………….
Adress : …………………………………………………………………………………………………….
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Email/IG/phone/HP : ……………………………………………………………………………………………………..
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Registration fee :
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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