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L-Men Of The Year 2012 Schedule
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L-MEN OF THE YEAR AUDITION 2012
Full Name
*
Address
*
Cell Phone
*
Phone Number
*
E-Mail (Facebook)
*
Twitter
*
Place/ Birth Date
*
Month
Januari
Februari
Maret
April
Mei
Juni
Juli
Agustus
September
Oktober
November
Desember
Education
*
High School
Diploma
Bachelor
Master
Occupation
*
Private Sector Employee
Entrepreneur
College Student
Government Employee
Student
Medical Staff
Teacher
Model
Others
Height/ Weight
*
cm /
kg
Audition City
* Online registration will be
closed
5 (five) days before the Pre-Audition/Audition.
Semarang
Lampung
Banjarmasin
Padang
Pontianak
Pekanbaru
Medan
Palembang
Sorong
Ambon
Balikpapan
Palu
Makassar
Yogyakarta
Bali
Surabaya
Bandung
Manado
Jakarta
The Gym where you train
*
Gym's Address
*
Photo
* The size of the photo must be smaller than
800 KB
, or the photo will not be accepted and the registration becomes invalid.
L-Men Product You Use
Consumption Period
If you've ever participated in the L-Men of the Year Pre-Audition/Audition, please specify which achievement you've accomplished!
Have you ever participating a Body Contest event?
Yes
No
Explain why you deserve to be an L-Men of the Year!
*
*
Fields marked with an asterisk
*
are required.
Please check your inbox/spam/junk mail folder, as we send auto-reply e-mail as an approval for your registration.
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& privacy policy.
Customer satisfaction
: 0800-1-800100 (toll free), 021-4607777,
customer@l-men.com
,
www.l-men.com