Complete this form in its entirety to register for the Saludos Hispanos Education Pavilion.

Please complete all grey shaded areas in their entirety. Thank you.

Company Name:
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Choose 1 of 3 Payment Methods - check one
1. Credit Card
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Exp. Date:
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3. Send Invoice
Corporate Ad Banner & Job Posting Packages Education Deluxe Annual Web Package $1,668 (139/month). Education Annual Web Package $1,188 ($99/month) Education 6-month Web Package $774 ($129/month) Authorized Purchaser:

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	Saludos Hispanos 73-121 Fred Waring Drive, Suite 100 Palm Desert, CA 92260 Telephone: 800.371.4456 or 760.776.1206 Fax: 760.776.1214 Email: info@saludos.com © 2000 Saludos Hispanos
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