FORMULIR PENDAFTARAN SEMINAR
Seminar Lahan Basah 2008:
Pengelolaan Lahan Basah Secara Bijaksana Menuju Masyarakat Sehat
Pontianak, 23 Februari 2008
Kopi dan kirim formulir pendaftaran ini melalui email: wetlands_untan@yahoo.co.id paling lambat tanggal 22 Pebruari 2008
NAMA : ..........................................................................................................
INSTITUSI : ..........................................................................................................
ALAMAT : ..........................................................................................................
Telp./HP : ..........................................................................................................
E-mail : ..........................................................................................................
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