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Personal/Organizational Information

* First Name :
Middle Initial :
* Last Name :
Salutation :
Preferred Name :
* Password :
Title :
Organization :
Address :
* City/Town :
* State : AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY DC * Zip :
* Select Country	USA Mexico Argentina Bolivia Brazil Chile Colombia Costa Rica Dom. Republic Ecuador Guatemala Honduras Panama Venezuela
* Phone :
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* Email :
WebSite :
Industry/Sector :	-- Select One -- Accounting Advertising/Marketing/Public Relations Airlines Architecture/Construction Products & Services Automotive Biomedical Industries/Pharmaceutical Banking/Financial Services Chambers of Commerce Chemicals Communications/ Telecommunications Consulates Consulting Consumer Products Computers: Hardware, Software, IT Education/Educational Services Environmental Food/Beverage/Agriculture Health Care/Services Instrumentation Legal Services Manufacturing Non-Profit Publications(Business; Economic outlooks)/Printing Services Real Estate Retail/Wholesalers/Textiles/Apparel Security/Safety Trade Services/Import/Export Translation Services/Language Transportation/Logistics services Travel/Tourism Other
Product & Services :	-- Select One -- Airline Travel Services Bio-medical HealthCare Biotechnology Banking Financial Services Building/Construction Product/Services Consultant/Marketing Services Consumer Products Education/Educational Services Environmental Food Products Freight Forwarder Government Agency Health Care/Services Industrial Mach. Equipment Insurance Intl. Logistics mgmt IT Legal Services Mgmt. Consulting Medical Devices Equipment Org. Devlopment Training Printing Elect. pre-press system Private Equity PR Firm Publications Research/Consulting Security/Safety Specialty Chemicals Telecommunications Textile Apparel Products Cloth Fabric Products Translation Services/Language Transportation/Logistics services Travel/Tourism Wholesalers Vehicle Recovery system Other
Are You Currently Doing Business in Latin America?           Yes        No
In Which Countries are you Interested?
Argentina Bolivia Brazil Chile Colombia Costa Rica Dom. Republic Ecuador El Salvador Guatemala Honduras Mexico Nicargua Panama Paraguay Peru Puerto Rico Surinam Uruguay Venezuela Other Country or Countries :
* Please select a member classification  :
-- Select One -- Patron, Corporate Sponsor $1500 Large Company (50 Employees or greater) $650 Small Company (Less than 50 Employees) $325 Individual $125 Student $75 Associate  (US Dollars)
How did you hear about the New England-Latin America Business Council?
* Privacy policy (Please read the Privacy Policy and check the box below) THE FOLLOWING DESCRIBES THE RETURN / REFUND POLICY AND PRIVACY FOR MEMBERSHIP OF THE NELABC.ORG. Welcome to the user agreement (the "Agreement" or "User Agreement") for New England Latin American Business Council. All information that we collect from you will solely be used by the New England-Latin America Business Council (NELABC) and not shared with any organizations or individuals that are not affliated with NELABC. If you would like to be removed from our mailing list, please email your Name, Address, Phone, and Email to info@nelabc.org and ask to be removed. Copyright © 2003  New England-Latin America Business Council.  All rights reserved. Revised: April 03, 2003 I accept the User Agreement and Privacy Policy above. Cancellation & Refund Policy Our membership is for 12 months from the day of enrollment. You can cancel your membership anytime and there is no refund policy.
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Contact : New England-Latin America Business Council 100 Federal St, Mailstop:  MA5-100-12-01 Boston, MA  02110 USA E-mail
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