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INFORM PAYMENT

Order Code *

The Order code can be checked from the order confirmation email

Name *

Email *

Phone *

Amount *

Payment method *

		Bank Permata 123-4567-89010 Nitipol Laopiam
		Bank Mandiri 123-4567-89010 Nitipol Laopiam
		Bank Danamon 123-4567-89010 Nitipol Laopiam

Payment Date *

Payment Time *

Proof of Payment *

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Note

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