Ficha de Clientes só preencha se for fechar com a nossa empresa www.reginaloucurasdeamor.com

25/05/2012 00:00

 

Pacote Especial (      )   :  Pacote  VIP  (      )  Pacote Vip II (     )

 

Semana ­­­­­­­­­­­­­­­­­­­­­­­________________________________ Hora : ______________

 

Data do Evento : ____­____/___­­­­­______/________.

 

De:__________________________________________________________________________________________________________________________________________________________________________________

Para:_______________________________________________________________________________________

Tipo do evento: _______________________________________________

Fone : _________________________Celular : ______________________

ID: ____________________________Celular : ______________________

Rua:_______________________________________________________________________________________

Bairro :________________________ Prox: ____________________________________________________

______________________________________Cep: _________________

Presente: ___________________________Fonte: ___________________

 

Musicas: _____________________________________________________________________

Musicas : _____________________________________________________________________

Mensagem : __________________________________________________

Musicas: _____________________________________________________

Total : __________________________________________________ ____

Estes dados é preenchido pela Empresa  www.reginaloucurasdeamor.com

 

DADOS  BANCARIOS :  Banco___________________________________

TEMINAL: ___________ Data do deposito  ____________________

Deposito   PAGO  :___ ______________FALTA_____________________