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2nd ANNUAL INTERNATIONAL CONGRESS OF THE HAITIAN DIASPORA
TRUMP INTERNATIONAL BEACH RESORTS, MIAMI,FLORIDA
THURSDAY, AUGUST 6th - SUNDAY, AUGUST 9th, 2009
Please Fill Your Personal Info
First Name
**
Last Name
**
Organization/Company/Business
Mailing Street Address
**
City & State
**
Zip Code
Business Street Address
City & State
Zip Code
Home Phone
Alternate Phone
Business Phone
Cell Phone
Fax No
Email Address
**
Please Select Your Level of Participation & Donation
A.INDIVIDUAL
Full Attendant Community/Organization/Professional Rep
US$ 250/person
Bonafide Student / THL Member
US$ 150/person
B.EXHIBITOR / VENDOR
Exhibitor/Vendor-1 Table (6´x31")
US$ 500
Exhibitor/Vendor-1 Booth (5´x5´)
US$ 1,500
Exhibitor/Vendor-1 Demo Area (9´x12´)
US$ 5,000
Type of Participation
Vendor
Civic Groups
Business
Clubs
Arts & Crafts
TOTAL
Section 2A Total
Section 2B Total
Grand Total
Enclosed please find my Total contribution US$
I am unable to attend, please accept my donation of US$
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