bring back Black: North Carolina Conference October 11th

Already RSVPed but still need to pay your registration fees? Pay with Credit Card via PayPal:


First Name:
Last Name:
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eMail:
Total Guests Attending: (including yourself)
Please indicate which events you will be attending by checking the boxes below.
Thursday, October11th , 2007 - Meet & Greet/10-10-50 Presentation:
Friday, October 12th, 2007 - Conference:
Saturday, October 13th, 2007 - Conference:
Saturday, October 13th, 2007- Banquet:

Organization Affliation:
	Other:
Are You a Vegetarian:	Yes

Comments:

Registration Fees: (Includes Breakfast, Lunch and Dinner)
By September 15, 2007	$125 (Student $65 )
After September 15	$150 (Student $75)
On Site	$175 (Student $85)
Please make your checks payable to: NATIONALIST Black Leadership Council Mail to: NATIONALIST Black Leadership Council 9 Gammon Avenue, SE Atlanta, Ga 30315