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FORMULARIO DE INSCRIPCIÓN PARA EL SEMINARIO EL REGLAMENTO ESTRUCTURAL PANAMEÑO
15, 16, 17, 18 y 19 de octubre de 2012
Salón Ateneo de Ciencias y Artes
4:00 p.m.-10:00 p.m.
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NOMBRE
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APELLIDO
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EMPRESA / INSTITUCION
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TELEFONO DE OFICINA
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TELEFONO CELULAR
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CORREO ELECTRONICO
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MIEMBRO SPIA
ACTIVO
INACTIVO / NO MIEMBRO
ESTUDIANTE
NOMBRE COMPLETO COMO DESEA QUE APAREZCA EN SU CERTIFICADO
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