FORM PESANAN

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

No SKU Nama Barang Harga Qty Sub Total
1 EVC-CB1022 Chromebook EVERCOSS CB01 Rp5.092.900,00 Rp0,00
2 05140105GTVS18 VIEWSONIC IFPG1 65 inch 4K non OS Rp35.155.300,00 Rp0,00
3 06030105SKPL74 Smart Google TV POLYTRON 4K UHD 65 inch Rp9.711.500,00 Rp0,00
TOTAL Rp0,00

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


Klaten, 30 Maret 2026
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