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Solicitud de RV y MN
16
Questions
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1
Información del Cliente
Personal Information
First Name / Nombre
Last Name / Apellido
Correo / Email
Teléfono Principal / Primary Phone
Teléfono Alterno / Alternate Phone
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2
Precio del watts Cotizado
Precio del watts Cotizado
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3
Precio de Batería(s)
Precio de Batería(s)
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4
Cantidad de Addons
Cantidad de Addons
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5
Ultímos 4 digitos del SS (Titular de la Cuenta)
Ultímos 4 digitos del SS
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6
Profesión (Titular de la Cuenta)
Profesión
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7
Estado Civil (Titular de la Cuenta)
Please Select
Casado(a)
Soltero(a)
Please Select
Casado(a)
Soltero(a)
Estado Civil (Titular de la Cuenta)
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8
Image Field
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9
Factura Electrica | Pagina #1
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Max. file size
: 10.6MB
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10
Image Field
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11
Factura Electrica | Pagina #2
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12
Image Field
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13
Factura Electrica | Pagina #3
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: 10.6MB
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14
ADA
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: 10.6MB
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15
Split de Venta
Ejemplo: Juan Velez 50% Jose Rodriguez 45% Maria Rosado 5%
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16
Datos del Consultor
*
This field is required.
Consultant Data
First Name / Nombre
Last Name / Apellido
Please Select
Trainee
Consultor
Team Leader
Gerente
Sub Director
Ditector
Otro
Please Select
Please Select
Trainee
Consultor
Team Leader
Gerente
Sub Director
Ditector
Otro
Posición del Consultor Energético
Teléfono del Consultor
Nombre del Lider de Grupo
Nombre del Lider Inmediato
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