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BCI EQUINOX | SURABAYA | 2017

Venue : Dyandra Convention Center, Surabaya


Jl. Basuki Rahmat No. 93 105, Surabaya, 60271
Date : Tuesday, 18 April 2017, 05:00 PM 10:30 PM
RSVP : Ziza FM
Phone : 021 8370 8731 Fax : 021 8370 8732
Email : ziza@bciasia.co.id Mobile : 0857 1770 5343

REGISTRATION FORM
Please fill in this form and fax back it to us at 021 8370 8732

We would like to attend with ________ people (Amount charge: FREE)

Company :
Architecture Consultant Developer Contractor Interior Designer

Address :

Telephone : Facsimille :
Registrant Details:
No. Name Mobile Email
1

Date: _________________ Company Stamp: _____________________ Signature: ____________________

Please bring your name card for door prizes!

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