Team Relay 3 Person

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Nama Team

Nama Lengkap (SWIM 2K)

Nama Lengkap Sesuai Kartu Identitas

Phone

Nomor Kartu Identitas (SWIM 2K)

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Ukuran Jersey (SWIM 2K)

Nama Lengkap (BIKE 90K)

Nama Lengkap Sesuai Kartu Identitas

Phone

Nomor Kartu Identitas (BIKE 90K)

Upload Kartu Identitas (BIKE 90K)

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Ukuran Jersey (BIKE 90K)

Nama Lengkap (RUN 20K)

Nama Lengkap Sesuai Kartu Identitas

Phone

Nomor Kartu Identitas (RUN 20K)

Upload Kartu Identitas (RUN 20K)

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Ukuran Jersey (RUN 20K)

Nama 2K) 20K)

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Silahkan lakukan pembayaran ke rekening : Bank BSI : 4566666656 A/N : KALSEL TRIATHLON