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Registration Information (All required fields are marked with an asterisk*)
Company Information
Contact Person
*Title:**
*First Name:**
*Last Name:**
*Company:**
*Address:**
*City:**
*State:**
*Zip:**
*Work Phone:**
*Fax:**
*e-mail:**
Operational Information
Does your company have operations in Latin America (defined for these purposes as Mexico, Central and South America, including Brazil and the Caribbean)?
Yes No
If yes, what countries?
Argentina Brazil Chile Colombia	Mexico Peru Venezuela Other(s):
How many facilities in total are located in Latin America?

What sector(s) best characterize your company’s operations in the region?
Mining Oil & Gas Petrochemical Energy Textile	Pulp and Paper Automotive Other Heavy Manufacturing High Technology Other(s):
Does your company consider Latin America a growth area?
Yes No
What is the size of your company’s workforce in the region?
Less than 25 25 to 50 50 to 150 150 to 500	500 to 1000 1000 to 5,000 Over 5000
What environmental issue(s) is/are of concern to your company’s operations in Latin America?*
Waste water Air emissions Solid waste Hazardous waste Permitting	Auditing Environmental Impact Studies (esp. for new facilities) Potential Sanctions Other:
Does your company belong to a trade association?
Yes No	If yes, which one(s)?
Does your trade association provide your company with information on environmental laws and regulations in Latin America?
Yes No
Service Provider Information
Where does your company currently get its information on Latin American environmental issues?

Is it satisfied with this arrangement?
Very satisfied Somewhat satisfied	Slightly Unsatisfied Very Unsatisfied
What was your budget for such services, materials, and seminars in the previous year?
Under $1,000 Between $1,000 and 5,000 Between $5,000 and 7,000 Between $7,000 and 10,000 Over $10,000
Who handles environmental issues for your company’s Latin American facilities?
U.S. legal counsel Local legal counsel International engineering firm Local engineering firm In-house teams Combination (please describe):
Which professionals within your company would be accessing an environmental information service such as ambientelegal.com?*
Engineers Attorneys Management	Combination Other:
Please rank the following countries numerically as to the need your company may have for information on environmental matters in the given country.
1: 2: 3:	4: 5: Others (please list):