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Page 1: DEPTH CONFERENCE

January 16th, 20048:00am – 5:00pm

Miami-Dade College – Wolfson Campus300 NE 2nd Avenue Miami, FL

Registration Form

Company: ________________________________

Attendees Title

1. ___________________________

2. ___________________________

3. ___________________________

4. ___________________________

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Phone: ____________, Fax: _______________Email: _________________________________

If you are out of town and require accommodations, please check this box and email us your requirements. .

Please email or fax information to David Countin, Director, MDC Hospitality ProgramEmail: [email protected] Fax: 305-675-8165