Inscripción Polo a Polo

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8vas Jornadas de Polo a Polo – Clínica ISV

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Formulario de Inscripción

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Clínica ISV agradece su interés en participar en las 8vas Jornadas de Polo a Polo, a continuación dejamos un formulario de inscripción en el cual debe adjuntar su comprobante de deposito o transferencia bancaria, el valor de la inscripción es de $70.000.- CLP, los profesionales becados están exentos de pago.

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Datos para el deposito o transferencia

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Nombre: Clínica Oftalmológica ISV Ltda.
RUT: 78.660.200-9
Banco: Banco Internacional
Cuenta Corriente: 67042320824
E-mail: poloapolo@clinicaisv.cl

*Indicar en el mensaje del deposito el nombre y RUT o Pasaporte del participante.

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Clínica ISV puede hacer entrega de factura exenta por concepto de esta inscripción, para solicitar este documento debe completar el siguiente formulario:

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