Minang Geopark Cycling

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Minggu 19 Desember 2021 - Lawang Park

Email *

Registrasi Minang Geopark Cycling

Nama Lengkap *

Nama Club

Jumlah Peserta

Daerah Asal

Nomor HP/WA *

Pilihan Penginapan *

Urus Sendiri

Bawa Tenda Sendiri

Sewa Tenda Rp. 150.000 / Orang / Malam Termasuk Makan Malam dan Makan Pagi

Rekening Pendaftaran

Insert 50.000,- bisa ditransfer ke Rek :

Bank Nagari
Wisata Sumbar Madani, CV
1008.0103.00045.4

Bukti transfer dikirim melalui WA Panitia dibawah

Kontak Person :
Delmiwardi : 0853-6522-3224
Yossi : 0821-6968-7208
Yogi : 0852-6394-4911
Taufik : 0823-1888-1871

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms