SPONSOR REGISTRATION FORM 1. PARTICIPANT REGISTRATION FOR CONFERENCE SPONSORS:  SALUTATION:  £   Mr.           £     Mrs.           £     Ms.            £     Dr. LAST NAME:__________________________________________________________________________ FIRST NAME: _________________________________________________________________________ TITLE:________________________________________________________________________________                  COMPANY:__________________________________________________________________________ ADDRESS:___________________________________________________________________________ CITY: _______________________________ STATE:______ ZIP/POSTAL CODE:_____________  COUNTRY: _________________________________________________________________________ TELEPHONE #: _________________________ FAX #: _____________________________________   E-MAIL:  ____________________________________________________________________________ 2. SPONSOR CATEGORY: Please choose level of sponsorship by checking the appropriate box.       £ PLATINUM $20,000+ §          Premier recognition as PLATINUM Conference Sponsor §          Featured Sponsor: VIP Room (Plenary, Luncheon & Dinner) §          Featured Sponsor: All Plenary Sessions §          Featured Sponsor: All Luncheons & Dinners §          Featured Sponsor: All Receptions & Coffee Breaks §          Designation of Company Representative as a Key Speaker              £ GOLD $15,000 §          Premier recognition as GOLD Conference Sponsor §          Featured Sponsor—All Plenary Sessions §          Featured Sponsor – All Luncheons & Dinners         £ SILVER $10,000 §          Premier recognition as SILVER Conference Sponsor §          Featured Sponsor – All Luncheons & Dinners §          Featured Sponsor: All Receptions         £ BRONZE $5,000 §          Premier recognition as BRONZE Conference Sponsor §          Featured Sponsor: All Receptions     All sponsorship levels include: ·      Press Releases announcing confirmed sponsors ·      Placement of Company logo in all Conference marketing material ·      Placement of Company logo by the registration & exhibit areas ·      Reserved seating at All Plenary Sessions ·      Reserved seating at All Luncheons & Dinners ·      Inclusion of promotional item in Conference tote bag ·      Hyperlink from CCAA website for one (1) year PLEASE PROVIDE CCAA WITH YOUR COMPANY’S LOGO AND PROMOTIONAL MATERIAL  BY APRIL 30TH, 2008  PLEASE SEND COMPLETED FORM BY APRIL 30TH, 2008 VIA FAX:  USA: (713) 426-0375 / Panama: (507) 269-0534 For Information: USA: Tel. (713) 426-0554 / Panama: (507) 269-2178 E-Mail:  USA: Panamerica@msn.com / Panama: enriquesosa79@cableonda.com Website:  www.us-panama.org (Covering Letter) (Program) (Sponsorship Opportunities) (Registration Instruct. & Form) (Sponsor Registration Form)