Register - JETZ Indonesia

Try new experience with Jetz Indonesia

Form isian bagi calon member Jetz yang ingin mencoba latihan di Jetz terlebih dahulu sebelum join.
Biaya mengikuti 1 sesi latihan Trial : Rp.75.000,- di transfer ke rekening BCA 526-092-8866 an. SIRIUS ANDALAN PRIMA PT
Maksimal mengikuti sesi latihan Trial hanya diperbolehkan 2 kali. Lebih 2 kali diwajibkan join member.
Semua bukti transfer pembayaran mohon dapat di email ke: jetztangerang@gmail.com atau WA ke Yuli (0812.9435.3272).
Informasi lebih lanjut dapat menghubungi : Yuli (0812.9435.3272) atau Lily (0818-0830-0990)

Name

Gender

Birth Place

Birth Date

Phone Number

Parent Phone Number

Previous Basketball Club Participation

Name of Previous Basketball Club

Basketball Match Experience (if any)

Password

Repeat Password

Email is used for member login, but it doesn't need to be an active email.

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