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Data Diri Pembelian Kendaraan
Mohon tuliskan informasi seputar pembelian kendaraan anda
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Email
*
Your email
Nama Anda
*
Your answer
Nomor telepon Anda
*
Your answer
Kendaraan yang anda beli di Carsome
*
Your answer
Cabang tempat anda membeli kendaraan tersebut
*
Alam Sutera
Bekasi Ahmad Yani
Depok
Pondok Indah
MT Haryono
Kelapa Gading
Bogor
Puri Indah
Bandung
Malang
Surabaya
Bekasi Siliwangi
Serang
Other:
Nama CC (Carsome Consultant) yang melayani anda
Your answer
Nomor rekening Anda
Your answer
Nama Bank (sesuai dengan nomor rekening Anda)
Your answer
Nama di rekening (sesuai dengan nama pembelian)
Your answer
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