U.S.-Panama
Business Council USA
U.S.-Panama
Business Council
Southwest
Chapter
5353 Memorial Drive #2041 /
Houston, Texas 77007
Tel. (713) 426-0554 / Fax (713)
426-0375 / E-mail:
Panamerica@msn.com
TRADE MISSION TO PANAMA
February 24-26, 2010
REGISTRATION FORM
Please complete
the registration form and fax it to the U.S.-Panama Business
Council
at (713)
426-0375 in Houston, Texas or (507) 205-1802 in Panama
City.
Name__________________________________________________________________________
Title___________________________________________________________________________
Company_______________________________________________________________________
Address________________________________________________________________________
City,
State &
Zip_________________________________________________________________
Tel.__________________________________________
Fax______________________________
E-mail_________________________________________________________________________
SPONSORSHIP LEVELS
____Platinum - $10,000
/ ____Gold - $7,500 / ____Silver - $5,000 / ____Bronze -
$2,500
INDIVIDUAL REGISTRATION
$1,950 per person / $2,500
per couple which includes:
- Package of information
- Participation in all of
the events and field trips
- Three nights at Marriott
Hotel in Panama City (Banking Center)
- Assistance in arranging
individual meetings
- Ground transportation
from and to airport in Panama City
- Ground transportation in
Panama City to all events
PAYMENT METHOD
___ Check in the amount
of $__________
Please mail to U.S.-Panama
Business Council 5353 Memorial Drive #2041/ Houston, Texas 77007.
___Credit card in the
amount of $__________________
___Amex
___Visa ___MC
#___________________________________Exp._____
Signature__________________________________________________
HOTEL
ACCOMODATIONS
Single________
Double________
Check-in
date__________ Check-out date__________
Smoking______
Non-smoking______
Credit card information is
needed for securing room. Please fill-in credit card information
above.
The host hotel will be the
Marriott Hotel in Panama City (Banking Center).
Special Information
- Panama’s currency is the
U.S. dollar
- Texas time is one hour
behind Panama.
PLEASE FAX REGISTRATION TO (713) 426-0375 USA or (507) 205-1802 IN
PANAMA.