America Palm Oil Council

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*
The Marriott San Diego Gaslamp Quarter
Limited Availability - $225 + 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. If you personally want to make an arrangement and want to get the same rate, the code word is "APO".

Registration Payment
US$300.00 (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. *10% off for registration before August 31, 2005 Cancellation policy: before August 31,2005 All cancellation after August 31, 2005 will not be reimburse.

Payment Instructions
By Check (US Banks Only)
Please make the check payable to American Palm Oil Council and mail 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)