Sales Portal Form
Sales Portal 2 (Copyan)
Anda Adalah
FC
PT
NAMA FC
NAMA PT
Nama Cabang
- Pilih Cabang -
Bintaro
Bandung
Grogol
Fatmawati
Tebet
Meruya
Ciputat
NAMA LENGKAP MEMBER
TYPE
NEW
RENEWAL
Paket PT
PT 3 sesi
PT 8 sesi
PT 16 sesi
PT 24 sesi
PT 35 sesi
PT 50 sesi
PT 100 sesi
Pre-Sale PT 10 Sesi
Pre-Sale PT 10 + 2 Sesi
Pre-Sale PT 20 Sesi
Pre-Sale PT 20 + 5 Sesi
Pre-Sale PT 35 Sesi
Pre-Sale PT 35 + 10 Sesi
Pre-Sale PT 50 Sesi
Pre-Sale PT 50 + 15 Sesi
Sharing
YES
NO
Nama Member Sharing
Paket FC (Pilih 2 untuk paket bundling)
Membership 3 bulan
Membership 6 + 1 bulan
Membership 12 + 2 bulan
Membership 18 + 6 bulan
PT 3 sesi
PT 8 sesi
PT 16 sesi
PT 24 sesi
PT 35 sesi
PT 50 sesi
PT 100 sesi
Pre-Sale membership 3 bulan
Pre-Sale membership 6 bulan
Pre-Sale membership 6 + 3 bulan
Pre-Sale membership 12 bulan
Pre-Sale membership 12 + 3 bulan
Pre-Sale membership 12 + 6 bulan
Pre-Sale membership 12 + 9 bulan
Pre-Sale membership 12 + 12 bulan
Pre-Sale PT 10 Sesi
Pre-Sale PT 10 + 2 Sesi
Pre-Sale PT 20 Sesi
Pre-Sale PT 20 + 5 Sesi
Pre-Sale PT 35 Sesi
Pre-Sale PT 35 + 10 Sesi
Pre-Sale PT 50 Sesi
Pre-Sale PT 50 + 15 Sesi
Bonus
NOMINAL HARGA (RUPIAH)
Term Pembayaran
Full
DP
Pelunasan
Nominal DP
Nominal Sisa Pelunasan
Max Tanggal Pelunasan
Nominal Sisa Pelunasan
Start Date
NOMOR WHATSAPP MEMBER
EMAIL MEMBER
Nama Kontak Darurat & Hubungan
Nomor WhatsApp Kontak Darurat
Metode Pembayaran
- Select -
EDC BCA - Kartu Debit BCA
EDC BCA - Kartu Debit Bank Lain
EDC BCA - Kartu Kredit BCA
EDC BCA - Kartu Kredit Bank Lain
EDC BCA - Qris BCA
EDC BCA - Qris Bank Lain
EDC BRI - Kartu Debit BRI
EDC BRI - Kartu Debit Bank Lain
EDC BRI - Kartu KreditBRI
EDC BRI - Kartu Kredit Bank Lain
EDC BRI - Qris BRI
EDC BRI - Qris Bank Lain
EDC MANDIRI - Kartu Debit MANDIRI
EDC MANDIRI - Kartu Debit Bank Lain
EDC MANDIRI - Kartu Kredit MANDIRI
EDC MANDIRI - Kartu Kredit Bank Lain
EDC MANDIRI - Qris MANDIRI
EDC MANDIRI - Qris Bank Lain
EDC CIMB NIAGA - Kartu Debit CIMB NIAGA
EDC CIMB NIAGA - Kartu Debit Bank Lain
EDC CIMB NIAGA - Kartu Kredit CIMB NIAGA
EDC CIMB NIAGA - Kartu Kredit Bank Lain
EDC CIMB NIAGA - Qris CIMB NIAGA
EDC CIMB NIAGA - Qris Bank Lain
Kredivo Paylater
Indodana Paylater
Bank Transfer
SOURCE
- Select -
Leads Digital Marketing
WI
Flyering
BR
Corporate
Lainnya
Keterangan
Sebelumnya
Upload Photo
Foto member full face (max. size 5MB)
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Bukti pembayaran (max. size 5MB)
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Kartu identitas (KTP/SIM/PASPOR) (max. size 5MB)
Choose File
SNK (max. size 5MB)
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BUKTI BR (Jika source dari BR) (max. size 5MB)
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PT ALLOCATION (max. size 5MB)
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