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Konfirmasi Pembayaran

[contact-form to=’[email protected], [email protected]’ subject=’konfirmasi pembayaran’][contact-field label=’No. Order’ type=’text’ required=’1’/][contact-field label=’Email’ type=’email’ required=’1’/][contact-field label=’Nama Pemilik Rekening’ type=’text’ required=’1’/][contact-field label=’Metode Transfer’ type=’select’ required=’1′ options=’—,Internet banking,SMS Banking,Setor Tunai,ATM,Mobile Banking’/][contact-field label=’Tanggal Transfer’ type=’text’ required=’1’/][contact-field label=’Nilai Transfer’ type=’text’ required=’1’/][/contact-form]