Nomor - e-KOPA
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KOPERASI KARYAWAN (KOPA) ABN GROUP Sekretariat: Jl. Tembokan RT.01 RW.01 Desa Cipeundeuy Kec. Padalarang Kab. Bandung Barat 40553 Telp. 022-6865318 - Fax 022-6865315, Web: e-kopa.org FORMULIR PEMESANAN BARANG Mitra Bima Abadi Cookware Yang bertanda tangan di bawah ini: Nama : ............................................................................................................... Perusahaan : ............................................................................................................... NIAK : ............................................................................................................... Alamat Lengkap : ............................................................................................................... ............................................................................................................... No. Telp. : ............................................................................................................... Bersama ini mengajukan permohonan kredit barang: Nama Barang : ............................................................................................................... Jumlah Barang : ............................................................................................................... Warna : ............................................................................................................... Harga barang : ..................................................................... (diisi oleh Pengurus KOPA) Besarnya Angsuran : ............................................................................................................... Lamanya angsuran : ............................................................................................................... Bandung Barat, ................................................ 20.... Pemesan Keterangan : Maksimal cicilan 10 (sepuluh) bulan.