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African American Storytellers’ Retreat 2008 Mail-In 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.
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Pre Registration Due by April 28, 2008
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Contact Information
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Adult Registration
_____@ 250.= _______ |
First Name
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Youth Registration
_____@ 175.= _______
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Last Name
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Elder Registration (55+ no other discounts apply)
_____@ 225.= _______
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Address
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NABS and Affiliate Registration (no other discounts apply)
_____@ 225.= _______
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City
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Late Registration (After April 28th)
_____@ 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 127 South Fairfax Street Alexandria, VA 22314
703.684.8587 919.673.2507 E Mail griot9@blackstory.org |
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