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Formulario ValorCapital
Formulario ValorCapital
Muchas gracias por contactarnos, a través de este formulario podremos evaluar una solución para su empresa.
Formulario ValorCapital 1.0
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  • Español
  • 1
    Ingresa el nombre de la empresa que contratará el seguro.
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  • 2
    Para poder contactarnos, necesitamos tus datos.
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  • 3
    Ingresa el correo donde quiere ser contactado.
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  • 4
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  • 5
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  • 6

    Gracias {nombre} por interesarse en nuestro seguro de salud Lyfe-Pymes. Para continuar con el proceso de contratación, descarge esta planilla excel y complete los datos para cada titular del seguro.

    Al finalizar presione SIGUIENTE y suba la planilla con los datos de los titulares del seguro.

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  • 7
    Suba planilla excel en formato xls, xlsx, csv.
    Drag and drop files here
    Select files to upload
    Max. file size: 10.6MB
    Cancelof
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  • 8
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  • 9
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  • 10
    Hemos recibido su solicitud de contacto.
    ValorCapital Corredores de Seguros
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