Registrar Nuevo Donante - Red Materno Infantil

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Registrar Nuevo Donante - Red Materno Infantil

Registrar Nuevo Donante

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Nuevo Donante

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Ingrese los campos correspondientes para registrar un nuevo DONANTE.

Estátus

ACTIVO

BAJA

SUSPENDIDO

PENDIENTE

Cumpleaños

ID *

Afiliación

Clave SAT

NVA. Cobranza

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Nombre *

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Apellidos *

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Dirección *

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Ciudad *

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Código postal *

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País *

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Teléfono(Casa)

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Teléfono (Trabajo)

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Teléfono-Móvil

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Correo electrónico (Particular)

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Correo electrónico (Trabajo)

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Correo electrónico (Otro)

Se Factura a:

RFC

Dirección de Facturación

Tipo de Tarjeta

Banco

Número de Tarjeta

Vencimiento de Tarjeta

Observaciones

Aportación

Periodicidad

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