Print the document below (Click Print This Page Below),
complete it and send by fax or regular mail to:
| Aguilar Productions, Inc. Attn: Richard Aguilar, President 602 Smith Avenue South St. Paul, MN 55107 |
(651) 665-0129 (FAX) Or call us at: (651) 665-0633 (Phone) |
Registration Fee:
_______ $50.00 Per Person
_______ $500.00 Table of 10
(includes company or organization mention in event program)
Limited Attendance
Please Type or Print The Following Information:
Name : _______________________________________________
Position : _____________________________________________
Company : ____________________________________________
Address : _____________________________________________
City : ___________________ State : _________ Zip : __________
Phone : _____________________ Fax :
_____________________________
E-Mail : _______________________________________________________
Method of Payment:
( ) Check Made Payable to Aguilar
Productions, Inc.
( ) Credit Card (
) Visa (
) Mastercard (
) American Express
Name on Credit Card : ____________________________________________
Credit Card Number : _____________________________________________
Expiration Date : _________________________________________________
Signature of Cardholder : ___________________________________________