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*Please print this form and fax it to 212-471-4701
 COMPANY INFORMATION
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FEES & GUESTS LIST
$90 members of the US-Mexico Chamber of Commerce
$140 non-members
I would like to reserve
people at $90 each person
and people at $140 each person
Total amount paid: $
Guest List
Name
Company
Telephone
Email
1
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 PAYMENT
Check payable to to the United States-Mexico Chamber
of Commerce. Please send check by mail to:
United States-Mexico Chamber of Commerce
380 Lexington Avenue, 48th Floor
New York, NY, 10168
Credit Card
Amex
Visa
Mastercard
Credit Card #
Expiration Date
Name on Card
Signature
*Your reservation will be confirmed via fax
or e-mail. Non-shows will be billed for the full amount. Contact
us with questions at
northeast@usmcoc.org /
phone: 212-471-4704 / fax: 212-471-4701.
Mexico's Independence Day celebration is sponsored by
Axa, Citigroup, Continental Airlines, Goya,
Computer Associates, Mexico Tourism Board,
Cancun, NBC & Telemundo, New York Life and Sol Melia Hotels and Resorts.
*Please print this form and fax it to 212-471-4701
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