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Formulario de Solicitud
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Nombre y Apellido
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Your answer
Número de Cédula de Identidad
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Your answer
Número de celular
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Your answer
Cooperativa a la que pertenece
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Your answer
Nombre del Curso/Taller/Webinar que desea adquirir
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Your answer
Forma de pago
*
Efectivo
Transferencia Bancaria.
Cheque a nombre de FECOAC Ltda.
Datos para la Transferencia Bancaria
Datos de Facturación (Razón Social y RUC) de la persona o entidad que realizará el pago
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Desea recibir información de las actividades que realiza la FECOAC?
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Si
No
Comentarios o Sugerencias
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