Pan American International Movers Association

Name:

Name for Badge:

Company:

Business Address:

City

*State

ZipCode:

Phone:

Fax:

E-mail:

Attendee Fee:

Registration rates: US$675.00 p/p ($600.00 Before August 1st, 2007)

Name to appear on Badge of the Additional Attendee:

Tour Information:

The Tour will take place the afternoon on Saturday, October 13, 2007. Enjoy a magnificent New York skyline view, a savor gourmet cuisine, live jazz and never-ending views aboard Bateaux New York the only all-glass dining vessel. Boat trip only for additional participants is $250.00 p/p. Departure from the lobby of the Hotel. Please contact us directly or contact our registration desk to register.

Name of Additional Registrant for the Boat Trip

Payment Information:

Convention fees can be paid by US Check or money order payable to PAIMA or by furnishing us the credit card information below. Registration fee and payment on or before August 1st, 2007 - $600.00 p/p. Registration fee and payment after August 1st, 2007 - $675.00 p/p. Bank transfers are not accepted.

Check (US Check)

Total charge:

	*Credit Card accepted: VISA - Master Card - American Express - Diners Club
Credit Card Number:
Expiration Month:
Expiration Year:
Print name as it appears on card:

Hotel Reservations:

**You must book your Room through HHGFAA**

Please book your room in advance, because PAIMA has no room available. Room rates per night are the following: http://www.hhgfaameetings.org/

* Single: $249.00 **Rate do not include Hotel Occupancy Tax

* Double: $279.00 **Rate do not include Hotel Occupancy Tax

If you need assistance in any of the following areas, please check below, and we will contact you with further information: Transportation, baby sitting service, special diets needs (vegetarian meals), special medical needs, additional travel information.

When completed, please return to PAIMA to the following address: PAIMA, Centro Comercial Camino de Cruces, Calle Miguel Brostella, Piso 5, Oficina # 505, Panama, Republic of Panama, Tel: (507) 360-2171/72, Fax: (507) 360-2172, E-mail: paima@paima.com

IMPORTANT: (Cancellations)

No money will be refunded if members fails to call and cancel within 30 days prior to the convention date. Prior to 30 days (cancellations received) the Association will keep US$75.00 for administrative charge, will return the difference. PAIMA is not responsible for travel, hotel, car, and for other expenses.

We are looking forward to seeing all of you at this year's PAIMA Annual Convention