Signup Form Script Toko Online
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Membership Type
Script Toko Online
Rp300,000.00
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Payment System
PayPal
secure credit card payment
Transfer Bank
Bank BCA, & ATM Bersama *Menggunakan fix rate/kurs USD 1.00 = Rp 15.000
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First & Last Name
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Your E-Mail Address
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Choose a Username
it must be 6 or more characters in length
may only contain letters, numbers, and underscores
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