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 ______________

  Contact Telephone Number(s) _________________________________________

  CONFERENCE FEES:

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