FORM PESANAN

2614
Nama : ...........................................
Jabatan : ...........................................
Instansi : ...........................................
NPSN : ...........................................
Alamat : ...........................................
e-mail : ...........................................
Nomor Telepon : ...........................................
Kanal : ...........................................
Sumber Dana : ...........................................
Janji Bayar :
Tanggal Kirim :
Catatan : ...........................................


No Kode Barang Nama Barang Harga Jumlah Sub Total
1 SKMJPDSD02SMK Seragam Kemeja GENIUZ Lengan Pendek Putih SD Ukuran 2 Rp0,00
TOTAL

*)Harga sudah termasuk pajak, dan biaya ongkos kirim.

*)Barang bisa diretur maks. 30 hari sejak penerimaan.



, 16 Agustus 2024
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