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FICHA INSCRIPCIÓN - SOCIOS APA
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Título sin título
Título sin título
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Profesión
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Especialidad
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Celular
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 E-mail
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Condición frente a IVA (para factura)
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D.N.I / CUIT
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Domicilio (calle y localidad) -para realizar factura-
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Matrícula Profesional (es obligatorio para inscripción)
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Redes Sociales (Facebook/Instagram)
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¿Cómo nos conociste?
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Observaciones  o Consultas
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