PT. Buana Loka Media

PT. Buana Loka Media
Form Order
Tanggal
Nama pemasang iklan
NPWP
Alamat NPWP	</td></tr> <tr><td>Alamat pemasang iklan</td><td><textarea id="adr_kust" type="text" rows="3" style="width:100%"/></td></tr> <tr><td>Telepon</td><td><input id="telepon1a" type="text" size="5"/> <input id="telepon1b" type="text" size="15"/> <small>(kode area, nomor telepon)</small></td></tr> <tr><td> </td><td><input id="telepon2a" type="text" size="5"/> <input id="telepon2b" type="text" size="15"/></td></tr> <tr><td>Jenis iklan</td><td> <table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr><td><input id="banner_flash" type="checkbox"/>Banner / Flash</td></tr> <tr><td><input id="Advetorial" type="checkbox"/> Advetorial</td></tr> <tr><td><input id="pop" type="checkbox"/> POP UP/Rich media</td></tr> <tr></tr> </table> <textarea id="creative_ad_text" type="text" rows="3" style="width:100%"/> </td></tr> <tr><td>Paket iklan</td><td><input id="harian" type="checkbox"/> Harian <input id="mingguan" type="checkbox"/> Mingguan <input id="bulanan" type="checkbox"/> Bulanan <input id="tahunan" type="checkbox"/> Tahunan </td></tr> <tr><td> </td><td> <table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr><td width="90"><input id="lainnya" type="checkbox"/> Lainnya :</td><td><input id="lainnya_text" type="text" style="width:100%"/></td></tr> </table> </td></tr> <tr><td>Posisi iklan</td><td> <table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr> <td> <select id="posisi"> <option>kanal Depan</option> <option>kanal Nasional</option> <option>kanal Global</option> <option>kanal Energi</option> <option>kanal Ekonomi</option> <option>kanal Sport</option> <option>kanal Style</option> <option>kanal Foto</option> <option>kanal Unik</option> <option>kanal Inspirasi</option> <option>kanal Kupas</option> <option>kanal Wawancara</option> <option>kanal Kuliner</option> <option>kanal Event</option> <option>Subkanal Nasional</option> <option>Subkanal Global</option> <option>Subkanal Energi</option> <option>Subkanal Ekonomi</option> <option>Subkanal Sport</option> <option>Subkanal Style</option> <option>Subkanal Foto</option> </select> </td> <td width="160"><input id="posisi_lainnya" type="checkbox"/> Lainnya, sebutkan :</td> <td><textarea id="posisi_lainnya_text" type="text" rows="3" style="width:100%"/></td> </tr> </table> </td></tr> <tr><td>Tarif iklan</td><td> <table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr><td width="30"><input id="cur1" type="text" onchange="set_cur(value)" style="width:100%; border-right:none;"/></td><td><input id="tarif" type="text" onchange="set_tarif()" style="width:100%; border-left:none;"/></td><td width="83"> Discount :</td><td align="right"><input id="discount" type="text" onchange="set_discount()" style="width:100%"/></td></tr> </table> </td></tr> <tr><td>Dasar pengenaan pajak</td><td> <table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr><td width="30"><input id="cur2" type="text" onchange="set_cur(value)" style="width:100%; border-right:none;"/></td><td><input id="dpp" type="text" readonly="readonly" style="width:100%; border-left:none;"/></td></tr> </table> </td></tr> <tr><td>PPn</td><td> <table width="100%" border="0" cellspacing="0" cellpadding="0"><tr> <td width="100"><input id="ppn" type="text" onchange="set_ppn()" style="width:100%; text-align:right;"/></td> <td width="30"> %</td> <td width="30"><input id="cur3" type="text" onchange="set_cur(value)" style="width:100%; border-right:none;"/></td> <td><input id="ppn_n" type="text" readonly="readonly" style="width:100%; border-left:none;"/></td> </tr></table> </td></tr> <tr><td>Jumlah pembayaran</td><td> <table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr><td width="30"><input id="cur5" type="text" onchange="set_cur(value)" style="width:100%; border-right:none;"/></td><td><input id="total" type="text" onchange="set_total()" style="width:100%; border-left:none;"/></td></tr> </table> </td></tr> <tr><td>Materi iklan</td><td> <table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr><td> <div><input id="siap_muat" type="checkbox"/> Siap muat</div> <div><input id="mentah" type="checkbox"/> Mentah</div> </td><td>Keterangan :<textarea id="materi_text" type="text" rows="3" style="width:100%"/></td></tr> </table> </td></tr> <tr><td colspan="2"> </td></tr> <tr><td colspan="2">Pembayaran dapat dilakukan dengan melakukan transfer ke rekening PT. Buana Loka Media:</td></tr> <tr><td colspan="2">BCA Cabang Wisma Millenia, Jakarta, No. Rek. 005-302-969-5</td></tr> <tr><td colspan="2">NPWP: 21.133.217.6-061.000</td></tr> <tr><td colspan="2" height="50"> </td></tr> <tr><td width="200"> </td><td> </td></tr> </table> <table width="780" border="0" cellspacing="3" cellpadding="0"> <tr><td width="33%"> </td><td> </td><td width="33%"> </td></tr> <tr><td width="33%" style="border-bottom:1px solid #000;"> </td><td> </td><td width="33%" style="border-bottom:1px solid #000;"> </td></tr> <tr><td width="33%"><input id="marketing" type="text" style="border:none;"/></td><td> </td><td width="33%"><input id="kustomer" type="text" style="width:100%; border:none;"/></td></tr> </table> <div> </div> <table width="780" border="0" cellspacing="3" cellpadding="0"> <tr><td width="50" rowspan="3"> <img width="45" height="45" src="data:image/png;base64, iVBORw0KGgoAAAANSUhEUgAAAHcAAAB3CAYAAAA5Od+KAAAABGdBTUEAAK/INwWK6QAAABl0RVh0 U29mdHdhcmUAQWRvYmUgSW1hZ2VSZWFkeXHJZTwAAAoDSURBVHjaYrRNXjGbYRQMOBDlY3tlpCp0 XlVe8JaWstg1HXWJP5SaCRBAjMDI/T8atIMOzAERIXZyq53MFfeRG9EAATQauUMgojWkea6nBOnO MdOX+0SKRoAAGo3cIRTJFupCx7tKXecRqwEggJhGw2zIgJQTN99Z2qWsnL11/w0VYjQABBDLaJgN rQgGEZ1LLzK8evt1fmKI8TF8igECaDTnDtFInr/jTmJZ9+4kfIoAAmg0cod4MY0vggECaDRyh0EE z19z1gqbJEAAjUbuMCmiD5y4K4EuARBAo5E7TCK4bs6ZZnRBgAAajdxhBFqnHwxB5gME0GjkDqPc u/PsC/dTFx/xwQQAAmg0codZBM9ZdzkFxgEIoNHIHWbgxtMvmlduvgAPTgEE0GjkDsPcu+/kfScQ AyCARiN3GII1hx6FgmiAABqN3GEKQEUzQACNRu4wLZqv3X2lBRBAo5E7TMHth+/VAAJoNHKHKTh3 +50hQACNRu4wBa8//RIDCKDRyB3GACCARiN3GAOAABqN3GEMAAJoxKyhstQQZuDnYUMRe/jiC8P1 J5+HrZ8BAmjYRa44PxuDnb4kg566GIOsJD+DlDg/Awc7fm/++PmH4dnLjww37r1muHDjFcOOM8+H RVgABNCwWLcMilAvKzkGU11pBh01CYrNA0X25RvPGU5cfMqw+tDDoRoscwACaEhHrqYML0OUpwaD uYEcwdxJLvjw6TvD+t3XGLYde8Tw8uOvIRW5AAE0JCMXlFMTfTUZnCxVaBapuCJ5/vY7QyZyAQJo yNW5oXbyDKnhJnSLVBgQ4ONkSAw2ZvCwVWWYsOgUw/Ebbwd9WAEEENNQyq29uVYMuXEWdI9YZCAp xsfQWeLCkBukNejDDCCAhkTOBdWtDVk24IAdNCWIly6DgrQAQ9eiM4O2LgYIoEGfc0H904mVboMq YmHAVF+WYVK5M7hUGYwAIICYBnvENuY6DGgxTEwxPVgjGCCAmEYjdvhGMEAADcrIBQVSZZr1kIhY 5AiuT7ccVG4CCKBBGbmd+XbgrsdQA6DRsYoY/UHjHoAAGnSRC+piKMkJMwxV4OWgweBhIjko3AIQ QIMqckFdHlAXY6iDrCjTQeEOgAAaVJFbnmTOMBwAqEoZDMUzQAANmsgFFWVDuThGB6Bx74FuPQME 0KCJ3AgvbYbhBEAtfdDkxkACgABiGs21wzf3AgTQoIhcPyc1huEIQLk3zFllwOwHCKABj1xQyqbG 6onBCmxM5AfMboAAGvDIFeJlZzh98TF4Mnw4AtDIFaiLNxAAIIAGfHwPtPqwePIxeD/XxUyWQVNF lEFFXmRIDT/iAyA/XX9yje72AgTQoAo9UEQjBwJo8sDeRIZBQ0l0SDe4QIl1IABAAA3qrAFaygJb zoK8ZFVfU3JIjT2DSqGBAAABNGTKPdBqB9AyU9hSU1ARbqErDl7OOtiLcJDbQO6l9wJ4gAAaspUa pAj/DF+NONiLcHkJHrpHLkAADZsdB8hFOAiAVkmCinA1RZFBsURHVU6Q7jsZAAKI7pELaxGfufaS pstDsRXhOipiDLoakgNShHNzsdLdToAAorsvdZSEwNN6IAzq296+/4bhyp1XDCcuv6RZsQUrwhkY EEU4aHnqcAcAAUT3yFWWE4CzQS1e0ApCEE4MZmB4/uoTwy1gZF+6+Yqme3SGwoJyagCAAKJ75HJz 4h5IB9WNIGxvrgRefH7v0VuGs1ee0bwIH64AIIDoHrmgbZXEAlCrF4RBRThs5x2ti/DhBAACaMi0 lkGNIOQiHFRfX7z+HFyEH7r4fKjtwKMLAAigIXtsAqi+hhXfq3sDwY2kQT0I8/Yr3e0ECKAh388F 1cud804O+mL6+Wv6Ry5AANE9ct++/0aVESRQsTxt2ekhc8TBQLgTIIDoHrmv31OWgkENq33H7zB0 LLk4ZEqXgZqrBgggukfu12+/ydYLmtQfzFsmcQHQQM1AAIAAonvk3n70nqx6dcW2q0P2lBnQwSkD AQACiO6RC4qgKhKK4OVbLpJ1DgWo9TxYBj5AXbWBAAABNCCtZVBOJNSo2nbgBsP8zddJLoJBkZoe ZghmH2/aM+ARC6pKBqoaAQigAYlc0JAirsglt2sDWqlRFmcCHuSAmTMYwO7j9wfMboAAGpDI3XPq McaGL0q6NqCdgb7OmoNuNQbITwPZTgAIoAEJDVCuBM0AgSYJKOnagHYqgHbUDdb1VKBzqwYSAATQ gCX1HYdvgyfPyenagCbfc6OMBvVidlDiHegDyQACaMAiF+Jx0jwPOzkOtMF5sIP56y4MuBsAAmjI jC0neqowBLpqDYklrQdP3hsUfXKAABr0kQvr2gyVRemgRtSUVYNjaBQggAZt5KJ3bYYCADUO22cd HTTDowABNCgjd7B2bQgB0GjaYFoOBBBAgyr0QF2bxCCDQXkUIMEG1Nqzg+64XoAAGhSROxS6NkMt YkEAIIAGNHIH4lDskRKxIAAQQAMaoqBde0Ohz4qr8dQ3/9ignoYECKABXSAHWnh+5daLIRexoEmJ 2KrNg35+GSCABnz1Y+PM40PmyARQbgUVwwlNe4bEahCAABrwyAUFEqhvCAq4wRypoPllUG4dQhdY MAAE0KBoxYD6hqA+IuiCiMEEQCXK7iN3GFbtvTMkF70DBNCgaaLCcsRARzBsM9q2w/eG/P4kgAAa VP0PekYwbKXG4+cfGb5+/wW+5u387bfDalsKQAANus4lKIK/fP1N87uDEgbB+ipaA4AAGpR7hUBd pPrJB8BF5CggHwAE0KDdCAaq78KrtoNbqaOAPAAQQIN+lx9obVV5z55Bs5pxKAGAABoSWzhBuRhU R7bNODQaySQAgAAaUqP1oOE+EAatzghxVR+wk2mGCgAIoCEZMpAzpyCHgYLmgA00xIb8+ZC0AAAB NOSTPSw3wwBobhh0WtvHL6PHKAAE0LAr0xBnTo0CgABiGg2C4QsAAmg0cocxAAig0cgdxgAggEYj d5gCUT62VwABNBq5wxQYqQqdBwig0cgdpkBVXvAWQACNRu7wBHO0lMWuAQTQaOQOU6CjLvEHIIBG I3cYghA7udUgGiCARiN3GBbJFvrSJ0AMgAAajdxhBjSkea6b6cuBl7AABNBo5A6zXJsSpDsHxgEI oNHIHUYRi5xrQQAggEYjdxiBWY3efch8gAAajdxhkmtzgjQnowsCBNBo5A6DiHU3ltgZ5qV3CV0C IIBGI3eod3vUhY5XZ9qvwSYJEECjkTvEI7ar1HUeLgUAATQaucM0YkEAIIBG14UOsUgFEaDGE7Y6 Fh0ABNBo5A6xfix6dwcfAAig0cgdApEKWlWR5Ks539tRg6Rt/QABNBq5g7j4BdWrIW7qa5BHnUgB AAHEAjNoFAw8ABW7OspCV/TUxC45WChTfMwPQIABAAR+MvnGsXPxAAAAAElFTkSuQmCC "/> </td><td style="font-size:8pt;"><a href="http://www.nonblok.com">www.nonblok.com</a></td></tr> <tr><td style="font-size:8pt;">PT. Buana Loka Media Jl. Tiga Buntu No 38, Kalibata - Jakarta Selatan</td></tr> <tr><td style="font-size:8pt;">Telp: 021-7989863, Fax: 021-7989734</td></tr> </table> <table width="780" border="0" cellspacing="3" cellpadding="0"> <tr><td>Nb : Form order ini sah jika di print dan di tanda tangani di atas materai oleh pemasang iklan.</td><td><a href="JavaScript:window.print();"><input type="button" value="Print" /></a></td></tr> </table> <script> //<![CDATA[ function set_cur(vl) { document.getElementById('cur1').value=vl; document.getElementById('cur2').value=vl; document.getElementById('cur3').value=vl; document.getElementById('cur5').value=vl; } function set_tarif(vl) { with(document.getElementById('tarif')) { if(vl!=undefined) value=vl; var c,d,v1=[],v2=value.split(''),ttln=0,dppn=0,ppnn=0, ppn=document.getElementById('ppn'); for(c in v2) if((v2[c]!='.')&&(v2[c]!=',')&&(v2[c]!=' ')&&(v2[c]!='-')) v1.push(v2[c]); v2=[]; d=0; if(!vl) { v1=v1.join(''); ppnn=Math.floor(v1(parseFloat(ppn.value)/100)); set_ppnn(ppnn); ttln=parseFloat(v1)+ppnn; set_dpp(ttln); set_total(ttln); v1=v1.split(''); } while(v1.length) { d++; v2.unshift(v1.pop()); if((d==3)&&(v1.length)) { v2.unshift('.'); d=0; } } value=v2.join(''); } } function set_dpp(vl) { with(document.getElementById('dpp')) { if(vl!=undefined) value=vl; var c,d,v1=[],v2=value.split(''); for(c in v2) if((v2[c]!='.')&&(v2[c]!=',')&&(v2[c]!=' ')&&(v2[c]!='-')) v1.push(v2[c]); v2=[]; d=0; while(v1.length) { d++; v2.unshift(v1.pop()); if((d==3)&&(v1.length)) { v2.unshift('.'); d=0; } } value=v2.join(''); } } function set_discout(vl) { with(document.getElementById('discount')) { if(vl!=undefined) value=vl; } } function set_ppn(vl) { with(document.getElementById('ppn')) { if(vl!=undefined) value=vl; var trf=document.getElementById('tarif'), ppnn=document.getElementById('ppn_n'); } } function set_ppnn(vl) { with(document.getElementById('ppn_n')) { if(vl!=undefined) value=vl; var c,d,v1=[],v2=value.split(''); for(c in v2) if((v2[c]!='.')&&(v2[c]!=',')&&(v2[c]!=' ')&&(v2[c]!='-')) v1.push(v2[c]); v2=[]; d=0; while(v1.length) { d++; v2.unshift(v1.pop()); if((d==3)&&(v1.length)) { v2.unshift('.'); d=0; } } value=v2.join(''); } } function set_pph(vl) { with(document.getElementById('pph')) { if(vl!=undefined) value=vl; var trf=document.getElementById('tarif'); } } function set_pphn(vl) { with(document.getElementById('pph_n')) { if(vl!=undefined) value=vl; var c,d,v1=[],v2=value.split(''); for(c in v2) if((v2[c]!='.')&&(v2[c]!=',')&&(v2[c]!=' ')&&(v2[c]!='-')) v1.push(v2[c]); v2=[]; d=0; while(v1.length) { d++; v2.unshift(v1.pop()); if((d==3)&&(v1.length)) { v2.unshift('.'); d=0; } } value=v2.join(''); } } function set_total(vl) { with(document.getElementById('total')) { if(vl!=undefined) value=vl; var c,d,v1=[],v2=value.split(''),trfn=0,dppn=0,ppnn=0,pphn=0, ppn=document.getElementById('ppn'); for(c in v2) if((v2[c]!='.')&&(v2[c]!=',')&&(v2[c]!=' ')&&(v2[c]!='-')) v1.push(v2[c]); v2=[]; d=0; if(!vl) { v1=v1.join(''); dppn=Math.ceil(v1(100/(parseFloat(ppn.value)+100))); set_dpp(dppn); ppnn=Math.floor(dppn*(parseFloat(ppn.value)/100)); set_ppnn(ppnn); trfn=v1-ppnn-pphn; set_tarif(trfn); v1=v1.split(''); } while(v1.length) { d++; v2.unshift(v1.pop()); if((d==3)&&(v1.length)) { v2.unshift('.'); d=0; } } value=v2.join(''); } } for(var x in isi) { o=document.getElementById(x); if(o.getAttribute('type')=='text') { o.value=isi[x]; if(isi[x]&&o.getAttribute('onchange')) eval('with(document.getElementById("'+x+'")) '+o.getAttribute('onchange')); } if(o.getAttribute('type')=='checkbox') o.checked=isi[x]?true:false; } //]]> </script> </body> </html>

PT. Buana Loka Media

Form Order