Please complete one form for each individual attending:
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Name PLEASE PRINT INFORMATION TO BE USED FOR NAME TAG
___________________________________________________________________________________
Address
________________________________________________________________________
City
State
Zip
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Contact phone number
Please check one:
__ Full conference fee - $22
__ Conference only - $11
__ Banquet only - $11
|
Mail to:
Janet Colson, Program Developer
Louisiana Creole Heritage Center
NSU Box 5675
Northwestern State University
Natchitoches, LA 71497
Please enclose check payable to NSU-Creole Heritage Conference |