USHCC 28th Annual Convention, Business Expo and International Pavilion

FedEx-USHCC Foundation 7th Annual Golf Classic Registration Form/Small Business & Workforce Development Pavilion First Name Last Name Title Address City State Zip Country Telephone International Phone Fax Email Website Company Golf ClassiC options Individual: $350 Corporate: $1350 Club Rental (Additional Cost): $50 exhibitor spaCe USHCC Foundation Small Business & Workforce Development Pavilion (Member): $900 USHCC Foundation Small Business & Workforce Development Pavilion (Non-Member): $1100. total Golf amount $ total exhibitor amount Name as it appears on credit card: Visa Mastercard Credit Card Number Expiration Date General reGistration & exhibitor payment All payments for registration, sponsorship and/or exhibit are due with individual convention registration form. If paying by credit card please fax registration form to (202) 429-0835 or visit www.ushccfoundation.org to register online. Do not fax this form if you register by mail or online payment Make check or money order payable to the united states hispanic Chamber of Commerce foundation. Attn: 2007 Convention – USHCC Foundation, 2175 K Street NW, Suite 320, Washington, DC 20037 note: This agreement will not be binding upon the USHCC Foundation in the event of any strike, lockout, injunction, act of war, act of God, Emergency declared by any government agency or any other circumstances beyond the control of the USHCC Foundation. The USHCC Foundation is not responsible for replacing lost or stolen tickets. I have read and agree to the Terms & Conditions of this agreement. Name (please print) Authorized Signature Date This application is a legal binding agreement. Authorized signature is required. The United States Hispanic Chamber of Commerce Foundation (USHCCF) is a not-for-profit organization founded in 1993 for the purpose of promoting the sound economic wellbeing and empowerment of Hispanic owned businesses, the Hispanic business community, the Hispanic Chamber of Commerce network (international, national and local), and the economic status of the Hispanic community through educational and other charitable means. It has been given 501 C (3) tax-exempt status by the Internal Revenue Service and as such, contributions from benefactors, members and/or sponsors are generally deductible as charitable contributions under the Internal Revenue Code. Please consult with a tax advisor in order to determine the appropriate tax treatment of sponsorship, contributions and/or other donations in accordance with applicable laws. Federal Identification Number 52-1754621. http://www.ushccfoundation.org

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