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Registration Form

U.S. Customs & Border Protection
Luncheon - 15 December 2010

"Honoring retiring USCBP Officer Tom Taylor for 42 years, 17 days of service dedication in protecting
our counties U.S. Borders"

Sheraton North Houston
157000 JFK Boulevard
Houston 77032

HACA Members: $30

Non-Members: $35

Registration Deadline:
13 Dec.

Guest speakers:

Assistant Port Director Donald Lee
Supervisory CBP Officer Ruben Deleon Officers Tom Taylor & Joseph Amadasu

HACA Luncheon Registration Form

* (asterisk) indicates required fields

                            Company Name *                                      Company Address, City, State, Zip *

                            Name of Person Attending *                                Title of Person Attending *

Contact Telephone Number *                               Contact eMail Address *

Indicate desired Workshop Session (A.M. or P.M.) below: *                               


Have a question before you register?

Contact Breanna Morgan at 281-904-5134 or


Read Carefully, Then Click "Submit" Button:

Once you have entered the information requested above, click the SUBMIT button below (only once, please).

After clicking the Submit button, a confirmation page will appear on your screen to confirm that your information has been forwarded electronically to HACA.  

To pay online, follow the text link on the confirmation page to the secure electronic payment system.  You may pay with VISA, MasterCard, American Express or Discover.

If you do not wish to pay online, you may pay by check or cash at the door. No credit card payments will be acceptaed at the door.  All tendered payments, electronic or otherwise, are final.  Refunds or credits will not be available.

Please be patient, as it may take more than 60 seconds for the confirmation page to appear.  Do not back out of this page until the confirmation page appears on your screen.  The confirmation page is your assurance that your information has been submitted to HACA's electronic application system.

Do not double-click
Submit button; click only once, please.