Business Seminar Series

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Please fill out, sign at the bottom, and fax your completed form to (202) 623-1403
Mr. Ms.
First Name	Last Name
Name of Your Organization		Title
Address
City	State	Zip Code
Country
Work Phone	FAX
E-Mail

Business/Organization:

Other:

I am interested in hearing more about IDB activities in the following sectors: (Please check as many as you like)

Energy	Transportation	Aviation
Financial Markets	Agriculture	Information Technology
Environment	Health	Water & Sanitation
Education	Procurement	Private Sector Financing
Urban Development	Public Sector Reform (Modernization of the State)	Other

How did you hear about the conference?

Please register me for IDB Business Seminar
Name of Seminar:
Price for Regular Business Seminars: One-day Seminar: US$295 Two-day Seminar: US$395
Enclosed is my payment of $
Form of Payment: Check (make payable to IDB Business Seminars). Check must be drawn on a U.S. Bank
Credit Card Number:	Expiration Date:
Name on the Card:
Billing Address if different from above:

Please check the box if you do not want the IDB to use your information for future IDB Seminars and other promotional activities.

Signature________________

Date__________

OFFICE OF EXTERNAL RELATIONS
1300 NEW YORK AVE N.W. • WASHINGTON D.C. • 20577
PHONE: 202 623-2652• FAX: 202 623-1403
WWW.IADB.ORG