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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!

Contact Us
Connected International Meeting Professionals Association (CIMPA)
9200 Bayard Place, Fairfax, Virginia 22032 USA
Tel 1 512 684 0889 Fax 1 267 390 5193
Email us