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Registration Form - E.Y.E. for Change 3rd Annual Conference

Thursday, April 3, 2008 - New Student Center, Morgan State University - Baltimore, MD 21251

Name: *
Grade: Age: Gender:
School/Org:
Address:
 
City:
State/Province: Zip:
Telephone: Cell phone:
Fax:
Email: *

Early Registration (Before February 1, 2008)
Individual - $5
Group Registration (10 or more) - $3

Registration (After February 1, 2008)
Individual - $10
Group Registration (10 or more) - $8

*For group registration, please have each individual complete the registration form.

Workshops (Select (3) workshops you would like to attend)

Jam, Action, Snap! Cashflow

Are you staying for lunch? Yes No

Are you a member of an E.Y.E. for Change Society? No Yes, Organization

How did you hear about the E.Y.E. for Change Conference?

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