December 8-9, 2005     Key Biscayne, Florida  USA

OUTLINE

WORKSHOP  REGISTRATION           
  

        Registration fee is US $620 each for one to two registrants per company.
        Registration fee is US $500 each for three or more registrants per company
        5% discount on registration fee for members of ANIQ, APLA, ABIQUIM, ASOQUIM,
NPRA, ACC and IPA.
       Note: Payment made by wire transfer will have a 5% discount.

                    Payment Options:
                    Check:  Mail to   Intellichem, Inc
                                               P.O. Box 14-4155
                                               Coral Gables, Fl 33114
                    Phone: 305-461-5388
                    Wire Transfer:  Information provided on Invoice
                    Credit Card (Secure payment via PayPal): 
VisaMasterCardDiscoverAmerican Express
  

Workshop 

December, 2005 Miami, Florida

*Name   
*Company Name   
Address   
City   
State     Zip
Country   
*Phone No   
Fax No   
*E-mail   
*Fee   
US$ 620.00 each for one to two registrants per company.
US$ 500.00 each for three or more registrants per company
I'm a member of ANIQ, APLA, ABIQUIM, ASOQUIM, NPRA, ACC or IPA.
Select Payment Method   
*required fields  
 


Payment using credit card available after submitting workshop registration.
Press Submit button to send workshop registration to Intellichem.


   

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