FORMULIR PESERTA GEA BERKURBAN 1436 H

1. ........................................... bin .........................

2. ........................................... bin .........................
3. ........................................... bin .........................
QURBAN ATAS
NAMA

4. ........................................... bin .........................

5. ........................................... bin .........................
6. ........................................... bin .........................
7. ........................................... bin .........................

NO. HP/TELP
EMAIL
TIPE HEWAN QURBAN (KAMBING)
Type D (21-23 kg) Rp 1.900.000

........ ekor

Type C (24-25 kg) Rp 2.100.000

........ ekor

Type B (26-28 kg) Rp 2.300.000

........ ekor

Type A (29-31 kg) Rp 2.500.000

........ ekor

Super (33-37 kg) Rp 2.800.000 Rp3.500.000

........ ekor

Istimewa (38-43 kg) Rp 3.500.000 - Rp

3.500.000

........ ekor
Cash

PEMBAYARAN

TANGGAL

TANDA TANGAN

NAMA JELAS

Transfer
(Bank..............................................)
............................................... 201
5

FORMULIR PESERTA GEA BERKURBAN 1436 H

1. ........................................... bin .........................
2. ........................................... bin .........................
3. ........................................... bin .........................
QURBAN ATAS
NAMA

4. ........................................... bin .........................

5. ........................................... bin .........................
6. ........................................... bin .........................
7. ........................................... bin .........................

NO. HP/TELP
EMAIL
TIPE HEWAN QURBAN (SAPI)
Type A (200-230 kg) Rp
14.000.000

........ ekor

Type B (240-260 kg) Rp

15.500.000

........ ekor

Type C (270-290 kg) Rp

16.750.000

........ ekor

Type D (300-330 kg) Rp

18.000.000

........ ekor

Super (350-409 kg) Rp

19.000.000 - Rp 24.000.000

........ ekor
Cash

PEMBAYARAN

TANGGAL

TANDA TANGAN

NAMA JELAS

Transfer
(Bank..............................................)
............................................... 2015