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FORM IDENTITAS MEMBER BINA MUSLIMAH
Assalamu'alaikum Sahabat Bina 🤗
Ahlan wa Sahlan di Bina Muslimah
(Komunitas Muslimah by ElbinaHijab)
Mohon untuk isi form berikut dengan jujur.
(form akan dirahasiakan)
Jazakunallah khairan katsiran.
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Email
*
Your email
Nama Lengkap
*
Your answer
Tempat, Tanggal Lahir
*
Your answer
Alamat
*
Your answer
No Handphone Aktif
*
Your answer
Mengetahui Bina Muslimah dari mana?
*
Instagram
Whatsapp
Undangan
Website
Other:
Required
Apakah Pernah Membeli Produk Elbina Hijab?
*
Pernah
Tidak Pernah
Ada Rencana
Other:
Required
Sudah Berapa kali Order di Elbina Hijab?
*
Your answer
Alasan Bergabung Menjadi Sahabat Bina?
*
Your answer
Apa Harapan Bergabung di Bina Muslimah?
*
Your answer
Jika Sudah Mengisi, Silahkan untuk Bergabung di grup Telegram Bina Muslimah
t.me/+Q4gzawgZwUpjZGQ1
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