JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Escríbele a tu alcalde
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Rut sin puntos y con guion
*
Ejemplo: 12123123-1
Your answer
Nombre Completo
*
Your answer
Dirección
*
Your answer
Teléfono Celular
*
Ejemplo: 56944444468
Your answer
Correo electrónico
(opcional)
Your answer
Comentario
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Municipalidad de Padre Hurtado.
Report Abuse
Forms
