Occupation Information /Informaci�n De la Ocupaci�n
Please
tell us about your job. / Por favor informenos sobre su trabajo.
Job Title-Position / T�tulo Del Trabajo-Posici�n *
Company-Organization / Compa��a-Organizaci�n *
Group Affiliation / Afiliaci�n Del Grupo
Street Address / Direcci�n De la Calle *
Post Office Box or Suite No. / Apartado de correos u N�mero De la Habitaci�n
City / Ciudad *
State / Estado
Country / Pa�s *
Other
Alabama
Alaska
Alberta
Arizona
Arkansas
British Columbia
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Manitoba
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
N/A (Non-US or Canada)
Nebraska
Nevada
New Brunswick
New Hampshire
New Jersey
New Mexico
New York
Newfoundland and Labrador
North Carolina
North Dakota
Northwest Territories
Nova Scotia
Nunavut
Ohio
Oklahoma
Ontario
Oregon
Pennsylvania
Prince Edward Island
Quebec
Rhode Island
Saskatchewan
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Yukon
UNITED STATES
AFGHANISTAN
ALBANIA
ALGERIA
AMERICAN SAMOA
ANDORRA
ANGOLA
ANGUILLA
ANTARCTICA
ANTIGUA
ARGENTINA
ARMENIA
ARUBA
AUSTRALIA
AUSTRIA
AZERBAIJAN
BAHAMAS
BAHRAIN
BANGLADESH
BARBADOS
BELARUS
BELGIUM
BELIZE
BENIN
BERMUDA
BHUTAN
BOLIVIA
BOSNIA HERCEGOVINA
BOTSWANA
BOUVET ISLAND
BRAZIL
BRITISH INDIAN OCEAN TERRITORY
BRUNEI DARUSSALAM
BULGARIA
BURKINA FASO
BURUNDI
CAMBODIA
CAMEROON
CANADA
CAPE VERDE
CAYMAN ISLANDS
CENTRAL AFRICAN REPUBLIC
CHAD
CHILE
CHINA
CHRISTMAS ISLAND
COCOS (KEELING) ISLANDS
COLOMBIA
COMOROS
CONGO
COOK ISLANDS
COSTA RICA
COTE D'IVOIRE
CROATIA
CUBA
CYPRUS
CZECH REPUBLIC
CZECHOSLOVAKIA
DENMARK
DJIBOUTI
DOMINICA
DOMINICAN REPUBLIC
EAST TIMOR
ECUADOR
EGYPT
EL SALVADOR
EQUATORIAL GUINEA
ESTONIA
ETHIOPIA
FALKLAND ISLANDS (MALVINAS)
FAROE ISLANDS
FIJI
FINLAND
FRANCE
FRENCH GUIANA
FRENCH POLYNESIA
FRENCH SOUTHERN TERRITORIES
GABON
GAMBIA
GEORGIA
GERMANY
GHANA
GIBRALTAR
GREECE
GREENLAND
GRENADA
GUADELOUPE
GUAM
GUATEMALA
GUINEA
GUINEA-BISSAU
GUYANA
HAITI
HEARD AND MC DONALD ISLANDS
HONDURAS
HONG KONG
HUNGARY
ICELAND
INDIA
INDONESIA
IRAN (ISLAMIC REPUBLIC OF)
IRAQ
IRELAND
ISRAEL
ITALY
JAMAICA
JAPAN
JORDAN
KAZAKHSTAN
KENYA
KIRIBATI
KOREA, DEMOCRATIC PEOPLE'S REPUBLIC OF
KUWAIT
KYRGYZSTAN
LAO PEOPLE'S DEMOCRATIC REPUBLIC
LATVIA
LEBANON
LESOTHO
LIBERIA
LIBYAN ARAB JAMAHIRIYA
LIECHTENSTEIN
LITHUANIA
LUXEMBOURG
MACAU
MADAGASCAR
MALAWI
MALAYSIA
MALDIVES
MALI
MALTA
MARSHALL ISLANDS
MARTINIQUE
MAURITANIA
MAURITIUS
MEXICO
MICRONESIA
MOLDOVA, REPUBLIC OF
MONACO
MONGOLIA
MONTSERRAT
MOROCCO
MOZAMBIQUE
MYANMAR
NAMIBIA
NAURU
NEPAL
NETHERLANDS
NETHERLANDS ANTILLES
NEUTRAL ZONE
NEW CALEDONIA
NEW ZEALAND
NICARAGUA
NIGER
NIGERIA
NIUE
NORFOLK ISLAND
NORTHERN MARIANA ISLANDS
NORWAY
OMAN
PAKISTAN
PALAU
PANAMA
PAPUA NEW GUINEA
PARAGUAY
PERU
PHILIPPINES
PITCAIRN
POLAND
PORTUGAL
PUERTO RICO
QATAR
REUNION
ROMANIA
RUSSIA
RWANDA
SAINT KITTS AND NEVIS
SAINT LUCIA
SAINT VINCENT AND THE GRENADINES
SAMOA
SAN MARINO
SAO TOME AND PRINCIPE
SAUDI ARABIA
SENEGAL
SEYCHELLES
SIERRA LEONE
SINGAPORE
SLOVAKIA
SLOVENIA
SOLOMON ISLANDS
SOMALIA
SOUTH AFRICA
SOUTH KOREA
SPAIN
SRI LANKA
ST. HELENA
ST. PIERRE AND MIQUELON
SUDAN
SURINAME
SVALBARD AND JAN MAYEN ISLANDS
SWAZILAND
SWEDEN
SWITZERLAND
SYRIAN ARAB REPUBLIC
TAIWAN, PROVINCE OF CHINA
TAJIKISTAN
TANZANIA, UNITED REPUBLIC OF
THAILAND
TOGO
TOKELAU
TONGA
TRINIDAD & TOBAGO
TUNISIA
TURKEY
TURKMENISTAN
TURKS AND CAICOS ISLANDS
TUVALU
UGANDA
UKRAINE
UNITED ARAB EMIRATES
UNITED KINGDOM
UNITED STATES
UNITED STATES MINOR OUTLYING ISLANDS
URUGUAY
USSR
UZBEKISTAN
VANUATU
VATICAN CITY STATE (HOLY SEE)
VENEZUELA
VIET NAM
VIRGIN ISLANDS
VIRGIN ISLANDS (BRITISH)
WALLIS AND FUTUNA ISLANDS
WESTERN SAHARA
YEMEN, REPUBLIC OF
YUGOSLAVIA
ZAIRE
ZAMBIA
ZIMBABWE
Postal (Zip) Code / C�digo Postal (Del Cierre rel�mpago) *
Business P.O. Box Zip Code (if different from street address) / C�digo postal de P.O. Box Del Negocio (si es diferente de la direcci�n de la calle)
Is this the company/organization main address? / �Es �sta el company/organization direcci�n principal?
No
If no, describe office (bureau, printing press, etc.) / Si no, describe la oficina (oficina, prensa etc.)
Contact
Information / Mas Informaci�n
How can we get in touch with you? / �C�mo podemos conseguirle en tacto con?
Phone / Tel�fono *
Extension / Extensi�n
Fax
E-mail *
Secondary E-mail
/ Segundo E-mail
Supervisor Information / Informaci�n Del Supervisor
Who
made the decision enabling you to attend this seminar? / �Quién
tomó la decision para permitierle ateneder a este seminario?
Suffix / Sufijo
Supervisor Title - Position / T�tulo Del Supervisor - Posici�n *
Supervisor Phone Number / N�mero De Tel�fono Del Supervisor *
Extension / Extensi�n
Address (if different from above) / Direcci�n (si es diferente de antedicho)
Discount Information - Contract Code / Informaci�n Del Descuento - C�digo Del Contrato
If you were given a promotional code on an API mailing or postcard,
OR
if this registration is part of a contract with API, please enter the code below.
Si le dieron un promocional cifre en un correo o la postal del API O si este registro es parte de un contrato con el API, introduzca por favor el c�digo abajo.
Does your company have a 2010 API Dollar Match Program account?
If so, you must enter your code in the "Promotional Code" field below.
Promotional Code / C�digo Promocional
Additional Instructions / Instrucciones Adicionales
If
you have any special instructions for the registrar regarding
your registration please insert them below. / Si usted tiene
algunas instrucciones especiales para el secretario con respecto
a su registro por favor insertarlas abajo
I have previously participated in an API Seminar /
He participado previamente en un seminario del API
I would like to be sent e-mails regarding API news /
Quisiera ser enviado los E-maices con respecto a noticias del API
Yes
No
How
did you hear about this seminar? / ¿Cómo se entero
usted de este seminario?