Ficha De Adhesión

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FICHA DE ADHESIÓN Centro de Acción Social para el Desarrollo “Acción Juvenil – LA FLORIDA.”

Nombre Completo: ____________________________________________________________________________________________________. Rut: _______________________________ - ______. Dirección: _______________________________________________________________________________________________________________. Fono: ____________________________. Celular: ____________________________. E-mail / MSN: __________________________________________________________________________________________________________. Profesión u Oficio: ____________________________________________________________________________________________________.

_____________________________________ Firma.

Debes completar esta ficha de Adhesión e enviarla a: [email protected]

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