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GREP_Belize Trade Mission_2022_Early Bird Pricing
19
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1
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2
Name:
*
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First Name
Last Name
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3
License Number
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4
Phone Number:
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Area Code
Phone Number
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5
E-mail Address:
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6
Complete Address
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7
Will Your Spouse / Significant Other Be Attending
Yes
No
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8
Spouse / Significant Other Full Name (Type NA if not attending)
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9
Mobile Number of Spouse / Significant Other Full Name (Type NA if not attending)
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10
Email Address of Spouse / Significant Other Full Name (Type NA if not attending)
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11
If you are going by yourself would you like to be notified of possible roommate?
YES
NO
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12
Are you planning to arrive early (before 07/25/2022)?
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Yes
No
Unsure
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13
If Yes, Please provide the date that of your arrival
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14
Do you have your GREP Certification already?
Yes, I already have my GREP Certification (I have my certificate and magnetic pin)
I am scheduled for the upcoming GREP course on___________
Yes, I already have my GREP Certification (I have my certificate and magnetic pin)
I am scheduled for the upcoming GREP course on___________
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15
If not yet GREP Certified, Please provide the date that you will be joining the GREP Certification Class. I also understand that should all spots sell out before I get my GREP Certification, I won't be able to attend this trade mission.
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16
I understand if I do not have my GREP Certification by June 1, 2022, neither I or my spouse / significant other (if applicable) will NOT be able to attend and I will not receive any refund.
Yes, I undersand
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17
I (and my spouse / significant other, if applicable) agree to abide by all trade mission rules set forth.
Yes
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18
Questions or Concerns
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19
Please verify that you are human
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