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SOLICITUD DE VERTICALIZADORES/ SOLICITATION FORM
Fecha de solicitud/ Date of solicitation (mm/dd/yyyy):
MM
/
DD
/
YYYY
Descripción del uso/ Where will the stander be used?
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Cantidad de verticalizadores?/ How many need?
Pais/ Country
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Referido por TF, TS, TO... Nombre / Who referred you PT, SW... name?
Teléfono / Phone:
Organización que solicita / Requesting organization:
Dirección de organización/ Address of organization:
Como Supo de Parate Conmigo/ How Did You Hear About Stand With Me?
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