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
204 Emerson Avenue East
St. Paul, MN  55118
(651) 665-0129 (FAX)
Or call us at:
(651) 665-0633 (Phone)

Limited Attendance
Please Type or Print The Following Information:

Name : _______________________________________________

Position : _____________________________________________

Company : ____________________________________________

Address : _____________________________________________

City : ___________________  State : _________ Zip : __________

Phone : _____________________  Fax : _____________________________

E-Mail : _______________________________________________________

Event Requested - Please Mark Number of Registrants Next to the Event

No. of Registrants 15th ANNUAL HISPANIC MARKETING CONFERENCE & AWARD LUNCHEON
Wednesday, June 8th, 2011
8:00 am to 4:00 pm
Minneapolis Hilton Hotel
11th & Marquette, Mpls.

$225 for Company Registration
$110 for Non-Profit Registration
$75 for Student Registration
$50 for Luncheon Tickets

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 : ___________________________________________