FICHA DE INSCRIPCION II Congreso Humboldt – Bonpland Paso de los Libres 31 de agosto- 1º de setiembre 2017-

-APELLIDO Y NOMBRE……………………………………………………………………..…………………………………… -DOCUMENTO DE IDENTIDAD………………………………………………………………………………………………… -LUGAR DE PROCEDENCIA:………………………………………………………………………………………………….… -INSTITUCIÓN QUE REPRESENTA: ………………………………………………………………………………………. -MAIL:………………………………………………………………………………………………………………………………..... -TELEFONO:……………………………………………………………………………………………………………………........ -CATEGORÍA: EXPOSITOR - PARTICIPANTE:…………………………………………………………………………… -SI ES EXPOSITOR ENVIAR RESUMEN DE LA PONENCIA. (EN NO MÁS DE QUINIENTOS CARACTERES) -TIEMPO DE EXPOSICIÓN: 15 MINUTOS. -ENVIAR A [email protected]

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