Registration Form

S.C.A.A.S.I CONVENTION
February 9, 10, 11, 2012


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]