Africana Studies Department

Tennessee State University :: 

12th Annual Africana Studies Conference: February 1-4, 2006
“Cultural Unity of Campus and Community II:
  Education, Reparation & Development"
Sessions and Workshops
Floyd-Payne Student Center
Tennessee State University
February 1-4, 2006		 Conference Site: Tennessee State University
Floyd-Payne Campus Center And The Humanities Building
3500 John A. Merritt Blvd.
Nashville, Tennessee
8:00 a.m. – 10:00 p.m.
REGISTRATION FORM

DEADLINE: January 15, 2006
Name  
Address
City   Zip Code
Telephone  Fax
Email  
Position or Title Organization

Registration Fees Community/
Professionals		 Elders Students Total
Conference Only

$50.00

 Free $25.00/  
      TSU Students Free w/ ID card
Full Conference

$75.00

 $25.00 $50.00/  
(includes Banquet ticket)   $25.00 TSU Students
Banquet Ticket $25.00 $25.00 $25.00
Continuing Education Credit $20.00 $20.00 $20.00

TOTAL

Make Check or Money Order Payable to:
TSU Foundation/AFAS

Return this form with registration fees to:

Dr. Amiri Y. Al-Hadid, Chair
Department of Africana Studies
P.O. Box 9544
Tennessee State University
Nashville, TN 37209-1561		 Telephone: (615) 963-5561/5583
Fax: (615) 963-7472
Email: aalhadid@tnstate.edu