JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Inversores / Investors - ACHA-Americas Continental Health Alliance (Formulario de Registro / Registration Form )
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Nombre y apellido / First name and last name
*
Your answer
Correo electrónico / email address
*
Your answer
Perfil en Linkedin / Linkedin profile
Your answer
Empresa y puesto / Company and position
*
Your answer
País / Country
*
Your answer
¿Qué tipo de inversiones realiza? / What kind of investment do you make?
*
Seed investment
Early-stage investment
Growth investment
Required
¿En qué sectores de la salud está más interesado/a? / Which health sectors are you mostly interested in?
Your answer
Estoy interesado/a en ser partner en el/los siguiente/s programa/s: / I'm interested in being a partner in the following program/s:
*
Go- Global
ACHA Champions Pitch
Fracaso al Éxito / From Failure to Success
Webinars mensuales / Monthly webinars
Required
Desafios actuales y comentarios / Current challenges and comments
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of DOR 7 SA.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report