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IURAN ANGGOTA AIJ - periode 1 Januari - 31 December 2013

(30,- CHF per tahun)

Telah diterima iuran anggota sebesar :_________________________

Nama : ..............................................................................................................

Alamat rumah:..................................................................................................

..........................................................................................................................

Email : ..............................................................................................................

Telpon: .............................................................................................................

Tanggal...........................Di:............................

Tanda tangan:

(...........................................................)

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