THE 39TH IVU WORLD VEGETARIAN CONGRESS 2010
“SAVE OUR LIFE, SAVE OUR PLANET”
Jakarta, October 1st - 6th, 2010 & Bali (Optional), October 7th - 9th, 2010
DATA KTP
  Name

Depan
Tengah
Belakang
J/K
  Tanggal Lahir
  No. KTP
  Masa Berlaku
INFORMASI KORESPONDEN
  Alamat Lengkap
  No Telp
  No Handphone
  No Fax
  Alamat Email
     
  Hotel
     
  Saya ingin mengikuti 3 hari Tour & Seminar ke Bali
     
PEMBAYARAN DITRANSFER KE :
  Beneficiary : Indonesia Vegetarian Society
  Bank Name : Bank Central Asia KCU Asemka
  Bank Address : Jl. Asemka 27 -30,
      Jakarta Barat
  Account No. : 0013087811
  SWIFT CODE : C E N A I D J A