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Become a Member

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Type of teacher: *
Type of Identification: *
Id Number: *
Name: *
Last name: *
E-mail: *
Mobile Phone:
Home Phone:
Institution: *
Institution name: *
Home address:

ASOCOPI´s network:
ASOCOPI is creating a network of teacher-presenters for teachers! Would you like to become one ASOCOPI presenter and volunteer presentations?

Fee: *
Slipt number: *
Upload bank receipt (Only jpg or pdf format): *

Upload a picture:

Autorizo que los datos almacenados en este formulario sean para uso y manejo estadistico y control de ASOCOPI.