Inter-American Economic Council Ronald Reagan Building, International Trade Center 1300 Pennsylvania Avenue, NW, Suite 700 Washington, D.C. 20004 TEL: (202) 204-3053 FAX: (202) 318-4300 E-MAIL: [email protected] Website: https://inter-american.org |
|||||
|
|||||
Registration Form THE PATRONS, DIRECTORS & HOST COMMITTEE REQUEST THE PLEASURE OF YOUR COMPANY AT THE ANNUAL WINTER AWARD GALA HONORING
Name ______________________________________ Title ______________________________________ Company ______________________________________________________________________________ Address _______________________________________________________________________________ City _________________________________ State ______________________ Zip __________________ Telephone _______________________ Fax ____________________ E-mail ________________________ Credit Card: MasterCard______ Visa _______ Card # ___________________ Exp. Date _________ Signature _________________________ |