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Apellidos y Nombres o Raz n Social RUT RUT RUT Fono Domicilio Comuna Ciudad Pa s E-Mail REPRESENTANTE Apellidos y Nombres RUT Domicilio Ciudad Pa s Comuna MARCA / DENOMINACI N SOLICITADA CHILE E-Mail Palabra o Denominaci n Mixta Sonora PEGAR ETIQUETA (M x. 7x7 Cm) DESCRIPCI N DE ETIQUETA (OBLIGATORIO) PUBLICAR DESCRIPCI N (Marque opci n) Etiqueta NO SI EN ESTE CUADRO INDICAR CON (X) LA/S CLASE/S DE PRODUCTOS 01 02 03 04 05 06 07 08 09 10 11 12 13 14.

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