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Formulir Permohonan Pembelian Motor Yamaha

Mohon Untuk Melengkapi Data Pribadi Anda Untuk Keperluan Pemesanan

• Nama *
  First Last
  

  Nama Depan dan Belakang
• Alamat Rumah *
  Street Address Address Line 2 City State / Province / Region Postal / Zip Code  Antigua and BarbudaArubaBahamasBarbadosBelizeCanadaCayman IslandsCook IslandsCosta RicaCubaDominicaDominican RepublicEl SalvadorGrenadaGuatemalaHaitiHondurasJamaicaMexicoNetherlands AntillesNicaraguaPanama Puerto Rico Saint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesTrinidad and TobagoUnited StatesArgentinaBoliviaBrazilChileColombiaEcuadorGuyanaParaguayPeruSurinameUruguayVenezuelaAlbaniaAndorraArmeniaAustriaAzerbaijanBelarusBelgiumBosnia and HerzegovinaBulgariaCroatiaCyprusCzech RepublicDenmarkEstoniaFaroe IslandsFinlandFranceGeorgiaGermanyGreeceHungaryIcelandIrelandItalyKosovoLatviaLiechtensteinLithuaniaLuxembourgMacedoniaMaltaMoldovaMonacoMontenegroNetherlandsNorwayPolandPortugalRomaniaSan MarinoSerbiaSlovakiaSloveniaSpainSwedenSwitzerlandUkraineUnited KingdomVatican CityAfghanistanBahrainBangladeshBhutanBrunei DarussalamMyanmarCambodiaChinaEast TimorHong KongIndiaIndonesiaIranIraqIsraelJapanJordanKazakhstanNorth KoreaSouth KoreaKuwaitKyrgyzstanLaosLebanonMalaysiaMaldivesMongoliaNepalOmanPakistanPalestinePhilippinesQatarRussiaSaudi ArabiaSingaporeSri LankaSyriaTaiwanTajikistanThailandTurkeyTurkmenistanUnited Arab EmiratesUzbekistanVietnamYemenAustraliaFijiKiribatiMarshall IslandsMicronesiaNauruNew ZealandPalauPapua New GuineaSamoaSolomon IslandsTongaTuvaluVanuatuAlgeriaAngolaBeninBotswanaBurkina FasoBurundiCameroonCape VerdeCentral African RepublicChadComorosDemocratic Republic of the CongoRepublic of the CongoDjiboutiEgyptEquatorial GuineaEritreaEthiopiaGabonGambiaGhanaGibraltarGuineaGuinea-BissauCote d'IvoireKenyaLesothoLiberiaLibyaMadagascarMalawiMaliMauritaniaMauritiusMoroccoMozambiqueNamibiaNigerNigeriaRwandaSao Tome and PrincipeSenegalSeychellesSierra LeoneSomaliaSouth AfricaSudanSwazilandUnited Republic of TanzaniaTogoTunisiaUgandaZambiaZimbabwe Country / Region
  

  Meliputi: Jalan, RT, RW, Kelurahan, Kecamatan, Kota
• Telp/Hp *
• Email
• Cara Pembelian Unit *
  Cash

  Credit
• Type Motor *
  Mio Z

  Mio M3 CW

  Fino 125

  Fino Grande 125

  Aerox 155 VVA

  Aerox 155 VVA GP

  Aerox 155 VVA R

  Aerox 155 VVA S

  N-max Non ABS

  N-max ABS

  Jup MX 150

  MX King 150

  MX King 150 GP

  R-25 ABS

  Xabre

  R-25

  Mio M3 AKS SSS

  X-Ride

  All New X-Ride 125

  All New Soul GT 125

  New Soul GT AKS

  Soul GT All New AKS SS

  All New Vixion VVA

  All New Vixion VVA GP

  All New R15 155 VVA

  All New R15 155 VVA GP

  X-max

  R-25 GP

  MT25
• Pembelian Kredit Harap Cantumkan DP dan Tenor *
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