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   ORGANIZERS
Asociación Latinoamericana de Instituciones Financieras para el Desarrollo
Banco do Nordeste
REGISTRATION FORM:
PERSONAL INFORMATION
   
FULL NAME:
POSITION:
INSTITUTION:
INSTITUTIONAL ADDRESS:
POST OFFICE BOX:
CITY:
COUNTRY:
TELEPHONE Nº:
FAX Nº:
E-MAIL ADDRESS:
NAME OF ACCOMPANYING PERSON:
 
TECHNICAL COMMITTEES
Mark the square for the Committee in which you wish to participate. As the Committee meetings will be held at the same time, please mark only one choice.
 
Financing Agriculture
Financing the Micro, Small and Medium Enterprise
Resources, Investments and Infrastructure
Environmental Financing
Financing Tourism Development
 
REGISTRATION FEE (check the option that corresponds to your institution’s category)
 
ALIDE Member US$400
Non-Member of ALIDE US$600
Brazilian Institutions Exempted
 
FORM OF PAYMENT.
Only registration forms the corresponding fee has been paid will be processed. Check the form of payment used:
 
Check or Money Order in US$ Dollars made out to ALIDE (drawn on a United States Bank)
Bank deposit or transfer in US$ Dollars into ALIDE account No. 201-03-000874700-9, in the Banco de Crédito del Perú, (Miami Agency) 121 Alhambra Plaza, Suite 1200 Coral Gables, Florida 33134, U.S.A.
ABA: 067015355, SWIFT: BCPLUS33. (Include photocopy of the deposit or transfer).
 
HOTEL AND ARRIVAL/DEPARTURE INFORMATION:
Important: this information is for the use of the organizing committee only and does NOT replace the On-Line hotel reservation request you must send to the hotel of your choice.
 
Hotel    
Luzeiros    
Praiano    
  Date Airline Flight Nº Time
Arrival:
Departure:
 
CONFIRMATION:
In short Ms. Marlene Zamora confirm the registration by mail.
Email: mzamora@alide.org.pe / Telephone: (51-1) 442-2400 ext. 216
 
 
Hotel Accommodations
Hotel
 Hotel Luzeiros
Hotel
 Praiano Hotel
 
FORTALEZA, BRASIL
Location, climate and other information
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