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Banner Advertisement Order Form
Please fill out the form carefully
*
Full Name:
*
First Name
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Last Name
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*
Company Name:
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Email id:
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Please enter valid email address
Mobile No:
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Invalid phone number.
The value must be less than or equal to 20
*
Website URL:
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Banner type:
Animated
Static
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My Products
Banner 125 x 125 20,000.00 IDR
Banner 125 x 125 20,000.00 IDR
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Quantity :
1
2
3
4
5
6
7
8
9
10
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Banner 300 x 250 50,000.00 IDR
Banner 300 x 250 50,000.00 IDR
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Quantity :
1
2
3
4
5
6
7
8
9
10
11
12
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Banner 468 x 60 80,000.00 IDR
Banner 468 x 60 80,000.00 IDR
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Quantity :
1
2
3
4
5
6
7
8
9
10
11
12
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Banner 160 x 600 80,000.00 IDR
Banner 160 x 600 80,000.00 IDR
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Quantity :
1
2
3
4
5
6
7
8
9
10
11
12
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Total :
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The value allows only numbers !.
The value must be greater than or equal to -21474836487
The value must be less than or equal to 2147483647
Upload Banner:
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Selected file is Invalid. (only file type .doc,.docx,.xls,.xlsx,.pdf,.zip,.jpg,.png,.gif,.txt,.ppt,.pptx,.tif and 5 MB size allowed)
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