Cimpa home page

Connected International Meeting
Professionals Association
 Participation Form
Home Up Mission Contents Suggestions Search Contact CIMPA

g

participation form

Please provide the following contact information:

Name
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
FAX
E-mail
URL

I am happy to help Friendship Corps. I hereby donate the following for the Dream Auction. I understand that the proceeds will be used only to fund programs for the medical and educational missions.


Expiration Date: (Must be valid for at least a year)Enter the date of ... :


tHANK YOU FOR YOUR HELP!

 
 
December 7 - 10, 2011 -- Albuquerque, NM
 
 
 
 
 
 
Contact Us
Connected International Meeting Professionals Association (CIMPA)
8803 Queen Elizabeth Blvd, Annandale, Virginia 22003 USA
Tel 1 512 684 0889 Fax 1 267 390 5193
Email us