1^st Annual Harambee Conference

“Toward A Solution:

Increasing Awareness, Producing Justice”

 April 13, 14, and 15, 2007

Fisk University’s Race Relations Institute

Registration Form

First Name Last Name

Street

City   State Zip Code

Phone       Fax

Professional/University Affiliation

Are you a presenter? yes  no  

If yes, please give title of proposal

 Are you interested in vending? yes   no 

If yes, please describe products

Number of individuals in your party (include names)

Registration Fees: $50.00 by March 31, 2007 ($10 discount for groups of 4 and more)

 $65.00 after March 31, 2007

 Vendor’s Fee: $50.00 per table

AIRPORT/HOTEL INFORMATION

Please Make All Checks/Money Orders Payable to: Fisk University’s Race Relations Institute. Mail to: Fisk University, 1000 17^th Ave. North, Nashville, TN 37208 (Include printout of completed registration form with payment.)

Attn: Race Relations Institute/Harambee Conference