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Event Registration :
Please register for Florida Memorial University's inaugural conference February 18-20, 2010, "Voices of the Diaspora: A Day of Dialogue." This conference serves as part of the annual Black History Month celebration.

Title
First Name
Last Name
Position
Institution/Organization
Email
Address
Addres 2
City
State
Zip code
Phone

I will attend (please check all that apply)

Morning (9:00 am - 11:30 am)
Luncheon and keynote speaker (11:30 - 1:00 pm)
Afternoon (1:00 pm - 5:00 pm)

I need the following special accomodation(s):

I have the following dietary restriction(s):

Survey Completion
0%	Current Progress 0%	100%