Registration Form:
For reservations please call the USMCOC at (310) 586-7901 or send us an e-mail at marlen@usmcocca.org
Yes, register me (us) for the Mexican Professionals Network
Members $ 20 Non-Members $ 20
Names (s) _____________________________________________________________________
Company name ________________________________________________________________
Contact name and title ___________________________________________________________
Cooperating Organization (if any) _________________________________________________
College or University (if full-time student) ___________________________________________
Business address _______________________________________________________________
City _________________________________ State ________ Zip Code _____________
Telephone _________________ Fax ______________ E-mail ___________________________
Method of payment:_____Visa/Master Card/American Express ____Check Amount:_________
Credit card number ______________________________________________ Expiration _____
Authorizing signature ___________________________________________________________
___ Student(s) College or university: _____________________________________________