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Alacero-56
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Información participante / Participant information
Nombre / Name
*
Your answer
Apellido / Last name
*
Your answer
Empresa / Company
*
Your answer
Cargo / Position
*
Your answer
Teléfono / Telephone
Your answer
Celular / Mobile phone
Your answer
E-mail
*
Your answer
¿Autoriza a publicar su email en la lista de participantes? / Do you authorize us to publish your e-mail in the list of participants?
Sí / Yes
No
Clear selection
Idioma de preferencia / Preferred language
Español / Spanish
Inglés / English
Clear selection
Tipo de participación / Type of participation
Tipo de participación / Type of participation
*
Prensa / Press
Dirección empresa / Company address
Calle-Avenida / Street-Avenue
*
Your answer
Número / Number
*
Your answer
Oficina-Departamento / Office-Department
Your answer
Piso / Floor
Your answer
Ciudad / City
*
Your answer
País / Country
*
Your answer
¿Cómo desea su nombre en la credencial? / How you want your name to appear on the credential?
Nombre-Apellido / Name-Last Name
*
Your answer
Empresa / Company
*
Your answer
País / Country
*
Your answer
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