Online Registration

Dr. Mr. Mrs. Ms.

Name:

Telephone:

Type of Registration:
Student Professional

Institution/College:

Address:

Email Address:

Fax:

Name other persons in your party:

Total Participants
Total Student: students with meals packages
Total Professionals: professionals with meals packages

	Pre-registration with meal packages*	Pre-registration/ without meals	On-site Registration**
Student	$95	$60	$75
Professional	$110	$75	$100

*Only the first 400 requests for meals packages can be accommodated
**On-site registration does not include meals; meal packages may or may not be available to purchase on-site

Meal package includes:

Meal packages include continental breakfast, lunch and dinner on Friday and Saturday. The four keynote speaker are: Reverend Dr. Jeremiah Wright, Jr. Friday night -- Professor Sonia Sanchez Saturday night - Dr. Gregg Carr (Howard University-History)- Friday Morning - Dr. David Padgett (Tennessee State University-Geography) Saturday Morning.