Registration Form 2013

* Indicates required field.

Select your Union

Name of your Conference or Mission

Your Name

First

Last

Title (Pastor, Doctor, Mr., Mrs., etc.)

Profession/Occupation

Name of business or institution

Position (CEO, Director, Manager, etc.)

Address

Address 1

Address 2

City

State

Postal Code

Country

Phone number (office)

Phone number (mobile)

Spouse Name

Is your spouse attending?

Seminar Selection*

1.How to start and maintain a small business

2.Developing female entrepreneurs

3.10 steps to be successful in business

4.Ethics in business

5.Developing a professional, corporate image in a competitive world

6.Evangelizing the Upper Classes

HOTEL REGISTRATION

You are responsible for making the hotel reservation.

At Barceló San José, Costa Rica

Arrival Date*

mm/dd/yyyy

Arrival flight information (Airline/Flight Number/Time)*

Departure Date*

mm/dd/yyyy

Departure flight information Arrival flight information (Airline/Flight Number/Time)*

Financial Information

Description	Price per Item	Tax (%)
Registration Fee	100.00 USD	0.0
Booth Fee	150.00 USD	0.0
Souvenir Magazine Advertising Back Cover	300.00 USD	0.0
Souvenir Magazine Advertising Inside Cover	250.00 USD	0.0
Souvenir Magazine Advertising Inside Back Cover	250.00 USD	0.0
Souvenir Magazine Advertising Full Page	200.00 USD	0.0
Souvenir Magazine Advertising Half Page	120.00 USD	0.0
Souvenir Magazine Advertising Quarter Page	75.00 USD	0.0

Pay via Credit/Debit Card

Payment to be made to your Union Office or to the Treasurer IAD

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Registration Form 2013

ASi Convnetion 2013 Photo Gallery

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Registration Form 2013

ASi Convnetion 2013 Photo Gallery

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