Formulario de Inscripción - SIMI 2019
XVIII Semana de Intervencionismo Mínimamente Invasivo - Del 28 al 30 de Agosto de 2019 - Hotel Alvear Palace
Email address *
Documento DNI / Passport *
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Teléfono / Phone Number *
Ej./i.e: 55 21 123456789
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Nombre(s) / First Name *
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Apellido(s) / Surname *
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Especialidad /Occupation *
Institución / Organization *
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País / Country
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Seleccione los módulos / Choose your modules: *
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