PANAMA WEEK 2007 Pillars for Growth October 18 & 19 - Washington, DC R E G I S T R A T I O N Please complete the registration form and fax to (301) 986-8803 or mail to US-Panama Business Council, 1300 Pennsylvania Avenue, NW, Suite G-0003,  Washington, DC 20004. Name______________________________________________________________ Title_______________________________________________________________ Company___________________________________________________________ Address____________________________________________________________ City______________________________State___________Zip________________ Tel_________________________________Fax____________________________ E-mail______________________________________________________________ Check Level of Participation:   Click here to see Sponsor Benefits at (Sponsorship Levels & Benefits + Individual Participation Fees) ___ SPONSORSHIP:   ___ Platinum - $25,000   ___ Gold - $10,000                                           ___ Silver - $5,000           ___ Bronze - $3,000 ___ INDIVIDUAL PARTICIPATION:         ___ Single - $600   ___ Couple - $750  (all events) ___ OTHERS:     ___ Forums (10/18) & (10/19) / Lunch (10/18) / Breakfast (10/19) - $300                              ___ Individual Friendship Awards Dinner - $300                             ___ Couple Friendship Awards Dinner - $500                              ___ Potomac River Cruise - $100 Please note that the forums are complimentary. $___________      TOTAL AMOUNT TO BE PAID. Check which events you will attend:  Click here to see program & updates (Program) Wednesday, October 17 ___ Early Registration & Greetings Thursday, October 18 ___ USPA Bi-National Board Meeting (Board Members) ___ Morning and afternoon Forums ___ Pillars for Growth Lunch ___ Friendship Awards Reception & Dinner at OAS Friday, October 19   ___ Power Breakfast: Pillars for Growth ___ Forum with U.S. Government agencies ___ Embassy Lunch: hosted by H.E. & Mrs. Federico Humbert, Amb. of Panama to U.S.        (By invitation) ___ Potomac River Cruise Method of Payment for Participation: ___ Please charge my CREDIT CARD: Amex____ /  Visa____ / Mastercard____ (check one) CC#__________________________________________________________Exp______ Signature:______________________________________________________________ ___ CHECK is mailed made payable to U.S.-Panama Business Council in the amount of $ ____ Please send payment to USPA, 1300 Pennsylvania Ave., NW, Suite G-0003, Washington, DC 20004  Hotel Accommodation & Reservations (NOTE DEADLINE September 18th and thereafter depends on availability.  Night of  Friday, October 19th SOLD OUT.  Please call 301-986-8802 to be put on waiting list). Westin Embassy Row 2100 Massachusetts Avenue, N.W., Washington, DC 20008               Rate: $309 plus 14.5% tax                          Date of Arrival: ___________       Date of Departure ___________ Dbl. Occupancy___________        Single Occupancy___________ Smoking________________        Non-Smoking______________ Requests will be accommodated on a first-come-first-served basis. ___ Please secure reservation on CREDIT CARD:   AMEX___ /  Visa___ /  MasterCard___ (check one) CC #______________________________________________________ Exp________  Signature:_____________________________________________________________ (Introduction) (Program) (Sponsorship Levels & Benefits + Individual Participation Fees) (Registration & Hotel Info.) (Sponsors Recognition)