Africa Solidarity Council Conference: Exhibitor registration form

Fourth Annual African Solidarity Conference

The Africa Solidarity Council, Inc.

Exhibitor/Vendor Registration Form

This page will be populated with the appropriate information at a later date. Please come back!

Last Name:

First Name:

Title:

Company/Agency:

Address:

City:

State:

Zip-Code:

E-mail:

Telephone:

Fax:

Description of products and services:

I agree to follow all rules, regulations, and restrictions set forth by the Africa Solidarity Council, Inc.'s Conference Planning Committee.

Signature of Authorized Representative:

Name of Authorized Representative:
Title:

Date:

Enclosed, please find a company/individual check or money order for $200.00

Payment must be received with this form to be valid.

Make checks payable to: The Africa Solidarity Council, Inc.

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