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FORM PENDAFTARAN
PAKET BIAYA
Pilih Paket
:
BRONZE - Rp. 250.000,-
SILVER - Rp. 500.000,-
GOLD - Rp. 1.000.000,-
PLATINUM - Rp. 2.000.000. . . . . . . . . . ,-
DATA SPONSOR
Nama Sponsor
:
Rudyanto
Username Sponsor
:
WikinaraChampion
Nama Upline Spillover
:
Rudyanto
Username Upline
:
WikinaraChampion
Posisi Anda
:
Posisi1
USERNAME & PASSWORD
Username
:
tanpa spasi
Password
:
tanpa spasi
Ulangi Password
:
tanpa spasi
DATA PENDAFTAR
Nama Anda
:
Email Aktif
:
Alamat
:
Kota
:
No. HP
:
No. Whatsapp
:
DATA BANK
Nama Bank,
Nomor Rekening,
Nama Nasabah
BANK-REKENING-NAMA
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