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African American Storytellers’ Retreat
2010 Mail-In
On-line Registration Form open a blank page on Microsoft Word, go to the form, go to edit click select all right click copy, go back to Word and right click paste. Copy and mail in the registration form.
Deadline for preregistration is April 24, 2010
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Storytelling
Institute Registration
_________@ 50. = _______
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Thursday, May 13,
2010.
Session 10:30 am - 5:30pm
Meals on your own.
Dormitory lodging on Wednesday is additional 45.
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Adult Registration
(non NABS or non Affiliate members)
_____@ 275.= _______ |
First Name
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Youth Registration (Ages 7 - 21)
_____@ 225.= _______
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Last Name
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Elder Registration (55+ no other discounts apply)
_____@ 250.= _______
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Address
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NABS and Affiliate Registration (no other discounts apply Must
show membership card)
_____@ 250.= _______
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City
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Late Registration (After April 24th)
_____@ 285.= _______
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State and zip code
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Total Registration __________
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Email address and Phone Number
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Check___ M.O.___
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T-Shirt Size: (circle one or add size)
S M L XL 2X 3X 4X ______
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Mail To: AASAI
3213 Duke Street # 629 Alexandria, VA 22314
703.684.8587 919.673.2507 E Mail griot9@blackstory.org |
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