Request edit access
JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Inscripción Taller el ABC de la Asamblea
Fecha y hora: Viernes 19 de Junio 2026 - 14 a 17 hs. MODALIDAD PRESENCIAL (Perú 570)
Disertante: Dra. Mayra Lucero
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Apellido
*
Your answer
Nombre/s
*
Your answer
Correo electrónico
*
Your answer
Teléfono de contacto:
*
Your answer
¿Sos socio/a de CAPHyAI?
*
Sí, soy socio/a
No, no soy socio/a
Next
Page 1 of 6
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report