LATIN ECONOMIC FORUM : 2007 : REGISTRATION

First Name		Last Name
Title		Company / Organization
Address 1		Address 2 *
City		State
Zip		Country
Main Phone	*	Main Fax
Email		Confirm Email

Donation Amount	To help cover the production costs, we ask that you please make a check donation at the conference payable to: Communications Careers for Latinos, Inc. Suggested donation: $20, $40, $60, $100 and $200. We are a 501 (C) (3) tax exempt non-profit organization

Location :
The Graduate Center
The City University of New York
365 Fifth Avenue. New York, NY 10016

Enter through main lobby.

a 501(c)3 organization

www.LatinEconomicForum.org

tel + 212.535.1327

fax + 212.572.6499