| Registration |
(*
Required Information) |
| First
Name* |
|
| Last
Name* |
|
| Title |
|
| Company/Institution* |
|
| Address* |
|
| City* |
|
| State* |
|
| Postal
Code* |
|
| Country |
|
| Phone
Number* |
(numbers only ex 3109443910) |
| Fax
Number* |
(numbers only ex 3109443544) |
| Email* |
|
| |
| Hotel
Reservation* |
| Venetian Resort Hotel Casino |
| Limited
Availability - $229 + Tax/Night |
Yes
No |
| If
yes, please indicate dates: |
| Check-In |
|
|
|
|
| Check-Out |
|
Other
dates:
|
| For
alternate hotel accommodation, you are kindly advised to make
your own arrangement.
|
| |
| Registration
Payment |
US$375.00
(price includes all meetings, lunches and cocktail reception
only)
All registration fees are to be paid in U.S. dollars.
All registrations will only be confirmed upon receipt of payment.
$50 off for registration before August 31, 2007
Cancellation policy: before August 31, 2007
All cancellation after August 31, 2007 will not be reimbursed. |
| |
| Payment
Instructions |
|
| By
Check (US Banks Only) |
Please
make the check payable to American Palm Oil Council
Send to:
American Palm Oil Council
21515 Hawthorne Blvd, Suite 690,
Torrance, CA 90503 |
| |
| By
Wire |
Please
wire funds to:
California Bank & Trust
21515 Hawthorne Blvd, Torrance , CA 90503
Account No.: 32-601199-11
Routing No.: 121002042
(Please add USD19 for International wire transfers) |
| |
| By
Credit Card |
MasterCard
|
Visa
|
AMEX
|
Other type
|
| Name
on card |
|
| Card
Number |
|
| Expiration
Date |
(numbers only ex 1206) |
| |
|
|
|
|