Last Name: First Name: Title: Organization/Company: Address: City: State: Zip-Code: African Country if applicable: E-mail: Daytime Phone: Fax: Disability Accommodation Required: Check all boxes that apply. : Distribute conference flyers only Distribute conference posters only Distribute conference flyers and posters at public places Distribute conference flyers and posters at Africa America/Caribbean  businesses   Make conference-related phone calls Ticket sales Help with Registration Chaperone Transportation, e.g., pick up/drop-off Set up Other: I agree to follow all rules, regulations, and restrictions set forth by the Africa Solidarity Council, Inc.'s Conference Planning Committee. Signature of Volunteer:  Name of Volunteer:   Title:  Date:

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