Lead Retrieval FITMA 2023 Lead Retrieval ENG "*" indicates required fields HiddenForm Fill Date MM slash DD slash YYYY Lead Retrieval App*--Select One--BasicSuggestedJumboDuo PackSelect Product - All prices are in Mexican PesosQuantity*Subtotal - Mexican Pesos $0.00 IVA $0.00 Total - Mexican Pesos Company Name* RFC Tax Regime Use of CFDI: Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country SINGLE AUTHORIZED CONTACT To receive activation code, download link of your captured leads. Contact Name First Last Phone*Email* PAYMENT INFORMATION*Rent for event *For wire transfers you must contact us at +(55) 85493678 or lectoras@acob.com.mx to get bank details. Price for this service is in U.S. Dollars, and must be paid in Mexican Pesos according the conversion rate published by Banco de Mexico on the effective day of payment. Only fully paid orders will be accepted. Customer is responsible for downloading the application from the proper store of the device, additional charges may apply from data provider. An activation code is needed to use the APP. The Activation Code is per event per device. The activation code and instructions are sent one week before the show. Please check our terms and conditions of service contract acobius.com/terminos-y-condiciones-lead-retrieval No cancellations are accepted. It is strongly recommended to test the application on your devices prior trade show starts to familiarize with its use.Credit Card I would like to pay online with a credit card. Credit Card PaymentsCLICK 'ADD PAYMENT INFO' BUTTON BELOW TO ENTER CREDIT CARD DETAILS. Cardholder Name Actions Edit Delete There are no Entries. Add Payment Info Maximum number of entries reached. BANK DETAILS FOR TRANSFER OR BANK DEPOSIT Bank: Santander, Company: COALICAN, PRO, S.A. de C.V., CPR 190118S30, Av. Simó Bolivar 1602 int. J, Col. Mitras Centro, C.P. 64460, Monterrey, N.L., México Account #: 65-50962757-9 Clabe: 014810655096275797 SWIFT: BMSXMXMMXXX CURRENCY: PESOS BANK: SANTANDER Due COALICAN PRO, S.A. DE C.V has no control over the current state or use of the hardware operating system or updates applied into the mobile device where the APP is going to be installed, we are not responsible for the loss of data, any lack of performance, hardware damage, or any other issue that many occur by using the APP.PRIVACY POLICY I. RESPONSIBLE.- COALICAN PRO, S.A. DE C.V. with address in Simón Bolivar 1602 int. J, col. Mitras Centro 64460, Monterrey, Nuevo León. México. II. USE OF THE INFORMATION - Registration of attendees, conferees, visitors to conferences, conventions, exhibitions, public and private events; for marketing, advertising and sale prospection purposes; billing for admission fees where COALICAN PRO, S.A. DE C.V. would been contracted as authorized commissioner; billing for computer and lead retrieval equipment rental to de used in private and public events, conferences, conventions and exhibitions where COALICAN PRO, S.A. DE C.V. would been contracted by the general contractor or legal owner of the event as a registration company; application of charges to customers’ credit or debit cards and/or bank accounts for services provided by COALICAN PRO, S.A. DE C.V.. and/or admission fees where COALICAN PRO, S.A. DE C.V. would been contracted by the general contractor or legal owner of the events as authorized commissioner; identification of attendees that can be targeted for other related events; communication of offers; customer service. The Spanish version of the complete privacy policy prevails over any other language version. If you need further information regarding data treatment and/or your rights regarding the use of your data, you may access our complete privacy policy at www.acob.com/privacy_policy_spn.htmlPDF Preview PDF PreviewNameThis field is for validation purposes and should be left unchanged. 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