Casas

REGISTRATION FORM ● 8150-1104
ULI Mexico
Wednesday, October 20, 2010

Four Seasons Hotel

Reforma 500, Col. Juarez
Mexico, D.F.

Guadalajara Salon

Four Easy ways to register

Online:www.uli.org/register (Credit card payment only.)
Phone: 800-321-5011 (Credit card or check.) Fax: 800-248-4585 or 410-626-7148
(Credit card or check)Mail:
|via regular mail: |via express mail (i.e. FedEx/UPS/DHL): |
|ULI Mexico|ULI Mexico |
|Dept 304 |1025 Thomas Jefferson St. NW, Ste. 500 West|
|Washington, DC 20055-0304 |Washington DC 20007 |____________________________________________________
ULI Member # Informal Name for Badge
__________________________________________________________
Name
__________________________________________________________
Title__________________________________________________________
Company
__________________________________________________________
Address
__________________________________________________________
City StateZip Code
__________________________________________________________
Telephone Fax
__________________________________________________________
Email*
* Confirmations are sent via email by nextbusiness day.

Registration Fees Member Non-Member

( Private $80 $100 usd
( Public Sector/Nonprofit $80 $100 usd
( Young Leader (under 35) $80 $100 usd
( Student (full-time) $80$100 usd
( Media $00 $ 00 usd

Please note: For multiple registrations, please duplicate this form.

( Sponsors – please email info to Alejandra Villarroel, ULI Mexico Coordinator,...