Registraion Form

September 16-18, 2009

Deadline for Registration is September 4th, 2009

Pre-registration is required for attending lunches and banquet

Pre-registration fees:
a) Exhibitors: $250 (provide one table and one chair,
b) Non-Tuskegee Attendees: $75.00 (Community and non profit organizations, please check with organizers)
c) Invited Speakers: NONE
d) TU Faculty/staff: Free
e) Students with ID: Free

To Pay by Credit Card
Name as Appears on Credit Card:
Type of Credit Card (Visa or Mastercard):
Credit Card Number:
Expiration Date:

To Pay by Check
Please make check payable to: Tuskegee University

Conference Registration Form

Note: If you have any difficulty to submit this from electronically, please fax to:

Ms. Tammie Hughley at: 334 -724 - 4672

Name: Mr./Mrs./Ms./Dr.- First Name-

M.I.--------------------------- Last Name -

Title ------------------------- Department--

Institute/Organization-- ---Address---

City-- ----------------------- ----State-------

Zip Code------------------

Phone Number:------- - ------Website-

E-mail:--------------------- ------Fax-------

Title of Presentation (if presenting)---------------

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