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Form Registrasi -Jambore Keluarga Qur'an 5
8 - 9 Januari 2022
Javana Spa & Resort, Cidahu
Informasi dan Pendaftaran : Rangga 0878-8141-9825 | Indra 0812-9111-9996
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* Indicates required question
Nama
*
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Alamat
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Email
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Nomor HP
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Paket yang dipilih
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Paket A (Tenda Maks 7 orang) - Rp. 850.000
Paket B (Tenda Maks 5 orang) - Rp. 800.000
Paket C (Tenda Maks 3 orang) - Rp. 700.000
Paket D (Tenda membawa sendiri) - Rp. 650.000
Required
Fasilitas Tambahan
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Tambahan Peserta > 5th (Rp. 225.000)
Kasur (Rp. 70.000)
Sleeping Bag (Rp. 10.000)
Matras Karet (Rp. 4.000)
Bantal (Rp. 8.000)
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Tambahan Peserta > 5th (Rp. 225.000)
Kasur (Rp. 70.000)
Sleeping Bag (Rp. 10.000)
Matras Karet (Rp. 4.000)
Bantal (Rp. 8.000)
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Jumlah Peserta
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Dewasa
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Jumlah Peserta
TK (1 > 5 th)
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5
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Jumlah Peserta
SD ( 6 - 12 th)
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5
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Jumlah Peserta
SMP (13 - 15 th)
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5
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Jumlah Peserta
SMA dan PT
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5
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Nama Seluruh Peserta - contoh : Fulan (23 th)
*
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Rencana Alat Transportasi
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Mobil Pribadi
Transportasi Online
Other
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Keterangan Tambahan
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