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Registration Form
S.C.A.A.S.I CONVENTION
February 9, 10, 11, 2012
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Southern Conference On African American Studies, Inc.
Address: P.O. Box 330163 Houston, TX 77233-0163
Phone: 713.641.9711 Fax 713-641-9711 Email: scaasi6@aol.com
_______ Pre-registration Registration RECEIPT
Received from ___________________________________________________
___________________________________________________
___________________________________________________
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Amount Paid $ _____________________
Signed:_____________________________
Date: _____________________________
Pre-registration $____________
On Site Registration $____________
[Undergraduate STUDENTS ATTENDEES - must pay for breakfast ($10) to
attend breakfast session/must pay dues of $25 to receive journal]
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