US
Embassy in Costa Rica
Costa Rica Trade Mission 2010
Registration Form
Company
Name______________________________________________________________________________
Name(s)
/Title(s) of Company Representative(s)
___________________________________________________
Address______________________________________________________________________________________
City_________________________________________State________________________Zip
Code_____________
Phone_______________________________________Fax
_____________________________________________
Email
_______________________________________Web
Address_____________________________________
What is/are your Business Sector(s)?
(Please check all that apply.)
____Electronics (telecommunication devices,
microstructures)
____Medical Devices
____Services (Corporate services,
call center, engineering, audiovisual design, information technologies,
logistics)
____Green Technologies (alternative energy sources, recycling and
biodegradable products)
____Industrial Goods (automotive, chemical,
metalwork, agricultural industry)
____Research & Development
(biotechnology, nanotechnology, agricultural and medical
applications)
____Outsourcing
____Construction
____Other / Additional;
Please
Specify:________________________________________________________
What is/are your primary objective(s) of
participating in the mission? (Please check all that apply.)
Specifics
____Sell Products / Services
___________________________________________________________________
____Secure
Strategic Partner(s)
________________________________________________________________
____Set up
Office / Facilities in Costa Rica
_______________________________________________________
____Establish
Outsourcing Operation
____________________________________________________________
____Purchase
Products and
Services____________________________________________________________
____Other
/ Additional; Please
Specify:__________________________________________________________
Number of Employees____Number of Years in
Business____Is this your first trade mission? ___Yes/No___
REGISTRATION FEES
"PLEASED & PROFITABLE"
Offer:
We are so sure that you will be "Pleased &
Profitable", that we offer all participants a 50% down at registration, and pay
the remaining 50% within 30 days AFTER the trade mission ONLY IF you are
"Pleased & Profitable". No questions
asked.
(Select your participation option below)
_____ Standard Delegate Participation Fee
Paid in January (early registration discount of
20%)...$1,000.
_____ Standard Delegate Participation Fee Paid in February (early
registration discount of 10%)..$1,125.
_____ Standard Delegate Participation Fee Paid by March 7 deadline
(standard)
..
.$1,250.
_____ CSI Represents your firm (includes
rep below)
.....
.....10% of sales for first year plus $
500.
_____ CSI Distributes your brochures
in our booth or suite (20 lb. box max.)
.
.
..
.$
250.
Amount submitted:
$_____________.
Your fee includes
all items listed (above) under Program Includes. Other individual expenses,
including airline, etc. are the sole responsibility of each delegate.
Registration is non-refundable unless the Trade Show or the Trade Mission is
cancelled; in which case all funds will be immediately refunded. There are a
limited number of delegate seats available, exclusive to US tech firms, sold on
a first come basis. Program is subject to minor changes. To secure your
delegation registration, please complete the registration form above and submit
it with your check to the trade mission organizer: Coastal Strategies,
Inc., 3001 N. Rocky Point Dr. E., Ste. 200, Tampa, FL 33607.
For assistance contact the trade mission
organizer:
