U.S.-Panama Business Council
&
Greater Houston Partnership

Proudly Present
PANAMA DAY TEXAS
May 19-20, 2005

With the cooperation of:
U.S. Embassy in Panama
Panama Embassy in the U.S.
Ministry of Commerce & Industry of Panama
Panama Maritime Authority
Panama Canal Authority
Panama Institute of Tourism

REGISTRATION

Please print and complete the registration form and fax it to the U.S.-Panama Business Council at (301) 986-8803 in Washington, DC or (507) 269-2178 in Panama City.

Name_________________________________________________________

Title___________________________________________________________

Company_______________________________________________________

Address_______________________________________________________

______________________________________________________________

City, State & Zip________________________________________________

Tel._____________________________ Fax.__________________________

E-mail_________________________________________________________

SPONSORSHIP LEVELS & INDIVIDUAL PARTICIPATION

___Platinum-$10,000    

___Gold-$5,000

___Silver-$2,500         

___Individual Participation (all events with exception of Port of Houston – Sponsors Only)-$300

___Participation in Business Forum & Lunch-$100

___Participation in Energy Breakfast & Forum-$75

For further information re sponsorship benefits please telephone  
USA: (301) 986-8802  /  Panama: (507) 269-2178

EVENTS YOU WILL ATTEND

___Business Forum & Lunch

___Port of Houston Visit & Briefing  (Sponsors Only)

___Panamanian Tourism Reception

___Energy Breakfast and Forum

PAYMENT METHOD

___ Check in the amount of  $______

Please mail to U.S.-Panama Business Council , 1300 Pennsylvania Ave. NW, Suite G0003 , Washington, D.C. 20004

___Credit Card               ___AX  ___Visa ___MC

Please charge my credit card in the amount of $___

cc#____________________________________________________Exp._____

Signature________________________________________________________

HOTEL ACCOMMODATION
Westin Galleria
5060 W. Alabama St., Houston
Room Rate $159 + 17% tax
(Deadline: May 3^rd, 2005)

Single_____________      Double_______________

Check-in___________     Check-out_____________

Smoking___________     Non-smoking___________

Other requests will be accommodated  if possible:

______________________________________________________________

  Credit card information for securing room if different from above:

cc# ____________________________________________Exp.___________

Signature _____________________________________________________