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Civil Liability Insurance Form

1 - Download File Civil Liability Insurance Calculation 2 - Fill in the figures of the document 3 - Complete the form 4 - Attach proof of payment Banco santander en dolares Cta cte 5100090378 Swift: bschclrm Fisa sa 96955780-0 Bombero ossa 1068 santiago de chile Note: send voucher to pcortes@fisa.cl Banco santander en euros Cta cte 5100090360 Swift: bschclrm Fisa sa 96955780-0 Bombero ossa 1068 santiago de chile Note: send voucher to pcortes@fisa.cl

IMPORTANT

ONLY FORMS THAT SEND THE ATTACHED DEPOSIT SLIP WILL BE CONSIDERED PAID. PROJECTS WILL BE REVIEWED FOR APPROVAL UPON RECEIPT OF THE ONLINE FORM.

    Total surface area:
    Total:
    Attach proof of payment

    I accept the terms and conditions of Hyvolution rules.