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2009 CONNECTING WITH AFRICA CONFERENCE
Advertiment Registration

How did you hear about the 2009 conference?
Previous Participation Family/Friend Brochure Display
Ad, Which One?
Special Event, Describe:
Other

ADVERTISEMENT INFORMATION
Please briefly tell us about your organization and/or product
Please describe your advertising materials and amount of space needed
All the advertising material and a non-refundable fee of $100 is due by August 12, 2009.

GENERAL INFORMATION
First Name
Last Name

Email Address
Mailing Address
City
State/Province/Region
Zip/Postal Code
Country



Primary Phone
Alternate Phone

Organization/Company

  
3040 Sumter Avenue North
Crystal, MN 55427
651-747-5549