Latin America Conference Registration Form

1. First Name*
2. Last Name*
3. Informal Name*
4. Business Title*
5. Organization*
6. Address 1*
7. Address 2
8. City*
9. State/Province
10. Zip/Postal Code*
11. Country*
12. Telephone*
13. Facsimile
14. E-Mail*

Are you currently a member of ACTE?Yes No

Special Accommodations/Dietary Needs:

Please indicate below if you require special accommodations to fully participate, if you have special dietary needs, or if there is anything we can do to make your attendance at the conference easier

For groups of at least 3 corporate buyers from the same company, contact ACTE about special promotional fees and the availability of meeting space if you wish to hold a team meeting at the Latin America Education Conference. Click here to contact ACTE.

*In order to qualify for the member rate, an individual must be a member at least through the dates of the conference. Any member expiring prior to the conference and not renewing their membership will be charged the non-member rate.

**A guest is a spouse/ significant other, friend or an adult child (18 and over) who is not in an industry-related occupation. A co-worker or an associate within the industry may not use the guest registration category. Registered guests may participate in all official social events, meal functions and general sessions. Registered guests are not eligible to attend the education sessions.

***Must be a full-time student and not employed in the corporate travel industry to be eligible for Student registration fees. Student ID will be required at Registration.

1. Check - Check Number *
2. American Express
3. Diners Club
4. Eurocard/MasterCard
5. Visa

1. Cardholder Name
2. Card Number Exp Date
3. Priority Code/Comments

* If paying by check, mail completed form with check to:

ACTE Registration Office, 111 South Pine Street, Burlington, WI 53105 United States

(Note: If you would like to keep a copy of this registration please print using your browser's print feature before submitting this form.)

All transferred registrations will be charged a USD 25 transfer fee. Full credits valid for 12 months, less USD 25 processing fee per registrant, will be given when cancellation is received in writing by 26 September 2008. No refunds or credits will be given after 26 September 2008. Refunds will not be given for no-shows. If this event is cancelled due to reasons beyond ACTE's control, ACTE reserves the right to retain a USD 25 processing fee for all conference registrations. Please send refund requests in writing to: ACTE Registration Office * 111 South Pine Street * Burlington, WI, 53105 * United States or fax to 1-262-763-7037.

Any credits for canceled events are available for use for 12 months from the date they were entered as a credit. After 12 months, the credit will expire without exception.

Please contact ACTE at 1-262-763-1902 with questions or more information.