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[contact-form][contact-field label=’Name’ type=’name’ required=’1’/][contact-field label=’HP 1′ type=’text’/][contact-field label=’HP 2′ type=’text’/][contact-field label=’Alamat Sesuai KTP’ type=’text’/][contact-field label=’Alamat Pasang’ type=’text’/][contact-field label=’Nama Kerabat (Nama/Hubungan/HP)’ type=’textarea’/][contact-field label=’Paket yang Diambil’ type=’checkbox-multiple’ required=’1′ options=’Indovision,Okevision,Top TV’/][/contact-form]

 

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