Register for the 9th Annual Racial Attitudes in Pulaski County Conference

JANUARY 26, 2012

Name*
PrefixFirstLastSuffix
Title
Organization
Email*
Address
Street AddressAddress Line 2CityStateZip Code
Phone*
Do you require disability parking?
- Yes
- No
Register Additional People *
- Yes
- No
If you are with an organization who would like to register additional people please add their names and email addresses in the space provided below.
Name/Email Address
Registration Type*
- Conference Only
- Waiting List for Conference and Lunch
- Waiting List for Conference and Vegetarian Lunch
Please Note: We have reached capacity for the Conference and Luncheon option. However, if you still wish to attend the luncheon and round table discussion portion of the conference, select one of the waiting list options, and if space becomes available, you will be notified at the conclusion of the panel discussion. The lunch and roundtable discussion will follow the panel presentation.