Event
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Company Name / Nombre de su Empresa
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Are You a member of the Chamber / Es socio de la C�mara
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Yes
No
If not a member please prvide us the following information / Si no es miembro favor proveernos de la siguiente informaci�n
Address / Direcci�n
Phone / Tel�fono
E-mail
Number of Participants / N�mero de participantes
Name of the Participants / Nombres de los participantes
Are you interested in Meeting a particular Chamber Member / Est� Ud interesado en conocer a otros socios
Yes
No
Additional Needs - Comments / Comentarios o Necesidades adicionales
Payment Form / Forma de pago
Cash at the Door / Efectivo en la Entrada
*
Yes
No
Pls. Send Invoice / Favor Enviar Factura
*
Yes
No
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