Nombre *  
			
		
			Apellidos *  
			
		
			Nombre del intercomunicador  
			
		
				
		
			Dirección *  
			
		
			Número de Calle *  
			
		
				
				
		
			C. P. *  
			
	
		
			Ciudad *  
			
			
		
			Abreviatura de la provincia *  
			
		
		
			País *  
			
				Afghanistan 
								Albania 
								Algeria 
								American Samoa 
								Andorra 
								Angola 
								Anguilla 
								Antarctica 
								Antigua and Barbuda 
								Argentina 
								Armenia 
								Aruba 
								Australia 
								Austria 
								Azerbaijan 
								Bahamas 
								Bahrain 
								Bangladesh 
								Barbados 
								Belarus 
								Belgium 
								Belize 
								Benin 
								Bermuda 
								Bhutan 
								Bolivia 
								Bosnia and Herzegovina 
								Botswana 
								Bouvet Island 
								Brazil 
								British Indian Ocean Territory 
								Brunei Darussalam 
								Bulgaria 
								Burkina Faso 
								Burundi 
								Cambodia 
								Cameroon 
								Canada 
								Cape Verde 
								Cayman Islands 
								Central African Republic 
								Chad 
								Chile 
								China 
								Christmas Island 
								Cocos (Keeling) Islands 
								Colombia 
								Comoros 
								Congo 
								Congo, the Democratic Republic of the 
								Cook Islands 
								Costa Rica 
								Cote D'Ivoire 
								Croatia 
								Cuba 
								Cyprus 
								Czech Republic 
								Denmark 
								Djibouti 
								Dominica 
								Dominican Republic 
								Ecuador 
								Egypt 
								El Salvador 
								Equatorial Guinea 
								Eritrea 
								Estonia 
								Ethiopia 
								Falkland Islands (Malvinas) 
								Faroe Islands 
								Fiji 
								Finland 
								France 
								French Guiana 
								French Polynesia 
								French Southern Territories 
								Gabon 
								Gambia 
								Georgia 
								Germany 
								Ghana 
								Gibraltar 
								Greece 
								Greenland 
								Grenada 
								Guadeloupe 
								Guam 
								Guatemala 
								Guinea 
								Guinea-Bissau 
								Guyana 
								Haiti 
								Heard Island and Mcdonald Islands 
								Holy See (Vatican City State) 
								Honduras 
								Hong Kong 
								Hungary 
								Iceland 
								India 
								Indonesia 
								Iran, Islamic Republic of 
								Iraq 
								Ireland 
								Israel 
								Italy 
								Jamaica 
								Japan 
								Jordan 
								Kazakhstan 
								Kenya 
								Kiribati 
								Korea, Democratic People's Republic of 
								Korea, Republic of 
								Kuwait 
								Kyrgyzstan 
								Lao People's Democratic Republic 
								Latvia 
								Lebanon 
								Lesotho 
								Liberia 
								Libyan Arab Jamahiriya 
								Liechtenstein 
								Lithuania 
								Luxembourg 
								Macao 
								Macedonia, the Former Yugoslav Republic of 
								Madagascar 
								Malawi 
								Malaysia 
								Maldives 
								Mali 
								Malta 
								Marshall Islands 
								Martinique 
								Mauritania 
								Mauritius 
								Mayotte 
								Mexico 
								Micronesia, Federated States of 
								Moldova, Republic of 
								Monaco 
								Mongolia 
								Montserrat 
								Morocco 
								Mozambique 
								Myanmar 
								Namibia 
								Nauru 
								Nepal 
								Netherlands 
								Netherlands Antilles 
								New Caledonia 
								New Zealand 
								Nicaragua 
								Niger 
								Nigeria 
								Niue 
								Norfolk Island 
								Northern Mariana Islands 
								Norway 
								Oman 
								Pakistan 
								Palau 
								Palestinian Territory, Occupied 
								Panama 
								Papua New Guinea 
								Paraguay 
								Peru 
								Philippines 
								Pitcairn 
								Poland 
								Portugal 
								Puerto Rico 
								Qatar 
								Reunion 
								Romania 
								Russian Federation 
								Rwanda 
								Saint Helena 
								Saint Kitts and Nevis 
								Saint Lucia 
								Saint Pierre and Miquelon 
								Saint Vincent and the Grenadines 
								Samoa 
								San Marino 
								Sao Tome and Principe 
								Saudi Arabia 
								Senegal 
								Serbia and Montenegro 
								Seychelles 
								Sierra Leone 
								Singapore 
								Slovakia 
								Slovenia 
								Solomon Islands 
								Somalia 
								South Africa 
								South Georgia and the South Sandwich Islands 
								Spain 
								Sri Lanka 
								Sudan 
								Suriname 
								Svalbard and Jan Mayen 
								Swaziland 
								Sweden 
								Switzerland 
								Syrian Arab Republic 
								Taiwan, Province of China 
								Tajikistan 
								Tanzania, United Republic of 
								Thailand 
								Timor-Leste 
								Togo 
								Tokelau 
								Tonga 
								Trinidad and Tobago 
								Tunisia 
								Turkey 
								Turkmenistan 
								Turks and Caicos Islands 
								Tuvalu 
								Uganda 
								Ukraine 
								United Arab Emirates 
								United Kingdom 
								United States 
								United States Minor Outlying Islands 
								Uruguay 
								Uzbekistan 
								Vanuatu 
								Venezuela 
								Viet Nam 
								Virgin Islands, British 
								Virgin Islands, U.s. 
								Wallis and Futuna 
								Western Sahara 
								Yemen 
								Zambia 
								Zimbabwe 
							  
		
		
			Teléfono *