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Fourth Inter -American Conference of Mayors <br />"Local Governance in the Americas: <br />Linking Democratic Development and Effective Service Delivery" <br />Miami, Florida - July 8 -10,1998 <br />Conference Registration Form and Hotel Information <br />(Please type or print clearly) <br />Last Name: First Name: <br />Title: <br />Organization/Affiliation: <br />Address: <br />City: <br />State/Province: <br />Country: <br />Postal Code: <br />Phone (include area code): ___ <br />Fax Number: <br />E-mail address: <br />Conference Registration Fees: <br />Registrants from the public and nonprofit sectors: $150 ($200 on site registration) <br />Registrants from the private sector: $500 <br />Please use check or money order made out to: Florida International University <br />(you can pay cash at the Conference) <br />Please mail or fax the Registration Form no later than June 22, 1998 to: <br />Cristina A. Rodriguez -Acosta <br />Florida International University <br />Institute for Public Management and <br />Community Services <br />11200 SW 8th Street, TC -30 <br />Miami, Fl 33199 <br />USA <br />Fax number: (305) 348-1273 <br />