SPONSOR RESERVATION FORM: 

Please print and complete this page, and mail to the address at the bottom of the page.

 GOLD BENEFACTOR    $30,000 / euros

 SILVER BENEFACTOR    $20,000 / euros

 BRONZE BENEFACTOR     $10,000 / euros

YES, I would like to attend the Executive Program on May 3-6, 2009 at Real Colegio Complutense at Harvard, Cambridge, MA ( USA)

Unfortunately, I am unable to attend the Executive Program, but would like to make a tax-deductible contribution in the amount of $____________ to support your programs. 

Name:	______________________________	Title:	_______________________
Company:	______________________________
Street:	______________________________
City:	______________________________	State/Zip	_______________________
Tel:	______________________________	Fax:	_______________________
Email:	______________________________

 Payment Options:

1. Please make your check payable in  USD to:

REAL COLEGIO COMPLUTENSE, “EXECUTIVE PROGRAM”

26 Trowbridge Street

Cambridge, MA 02138

2. Bank Account Transfer of EUROS addressed to:

DIRECCIÓN: SC-ESPAÑA-USA “EXECUTIVE PROGRAM”

BANK: BSCH SANTANDER CENTRAL HISPANO

ACCOUNT NUMBER: 0049-5144-03-2816091046

 For additional information, contact:

Marisa del Pozo

Executive Program Director

mapoli@ccinf.ucm.es

Universidad Complutense de Madrid
Facultad CC Informacion - Edif. C-118
28040 Madrid-Spain
Phone: 34 639 22 06 35
Fax: 34 913 94 20 58