GREP_Belize Trade Mission_2022

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Image Field
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Name:* This field is required.
First Name
Last Name
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License Number
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Phone Number:* This field is required.
Area Code
Phone Number
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E-mail Address:* This field is required.
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Complete Address
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Will Your Spouse / Significant Other Be Attending
Yes
No
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Spouse / Significant Other Full Name (Type NA if not attending)
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Mobile Number of Spouse / Significant Other Full Name (Type NA if not attending)
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Email Address of Spouse / Significant Other Full Name (Type NA if not attending)
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If you are going by yourself would you like to be notified of possible roommate?
YESNO
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Are you planning to arrive early (before 07/25/2022)?* This field is required.
Yes
No
Unsure
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If Yes, Please provide the date that of your arrival
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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___________
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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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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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I (and my spouse / significant other, if applicable) agree to abide by all trade mission rules set forth.
Yes
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Questions or Concerns
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Please verify that you are human* This field is required.
Should be Empty: