Choctaw Chickasaw Freedmen Conference
February
26-27, 2010
Langston
University – Tulsa Campus
914
N. Greenwood Ave.
Tulsa, OK 74106
REGISTRATION
Name:
_____________________________________________________________
Family Association
(Surname) _________________________________________
Mailing Address:
____________________________________________________
City
___________________________ State_____________
Zip ______________
Registration
$ 50.00
DONATIONS:
Gold
$200.00
Silver
$100.00
Bronze
$ 50.00
Patrons
$ 25.00
Registration Fee
__________
Donation
__________
TOTAL
__________
All fees are due
by February 14, 2010
MONEY ORDER / CASHIER’S CHECK PAYABLE TO:
CCFF (or Choctaw Chickasaw Freedmen Fund)
c/o Carlotta Kemp Wheeler
400 South Zang Blvd., Suite 1210
Dallas, TX 75208