FORMULIR PENDAFTARAN
FESTIVAL SHOLAWAT AL
BANJARI Se-JAWA TIMUR
Nama Pimpinan
: ..........................................................................................................................
Nama
Group
: ..........................................................................................................................
Alamat
: ..........................................................................................................................
..........................................................................................................................
Nomor
Telepon
: ..........................................................................................................................
Delegasi/Utusan
dari
: ......................................................................................................................
Judul
Sholawat
Lagu 1 : ......................................................................................................................
Lagu 2 : ......................................................................................................................
Telah menyelesaikan Administrasi sebesar Rp 100.000,-
Untuk biaya : Pendaftaran Festival Sholawat Al Banjari
se-Jawa Timur
......................,
...................................2014
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Panitia Pendaftar
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