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1061 Atlantic Avenue · Brooklyn, NY 11238 · (718) 638-NEWS · Fax (718) 638-1810 · www.BlackChurchMeansBusiness.

com

A CHRISTIAN TIMES AND ECONOMIC LITERACY COALITION EVENT


December 11 & 12, 2006 - Brooklyn Museum

R E G I S T R A T I O N
CLASSIFICATION
MR. PASTOR
MRS. ELDER
MS. BISHOP
CLERGY
REV. ARCHBISHOP
DR. OTHER ________ FIRST NAME LAST NAME ENTREPRENEUR

EXHIBITOR
COMPANY/ORGANIZATION (if any) MEDIA

PARTICIPANT
ADDRESS APT / SUITE SPONSOR

YOUTH

CITY STATE ZIP

( ) ( )

DAY PHONE EVENING PHONE E-MAIL

Area(s) of Interest P A Y M E N T
A 2 days B 1 day
Franchising & Corporate 2 DAYS =$
$65 per person $55 per person # of persons
Dealerships

Group of 5 or more: Group of 5 or more: Banking and Financing


1 DAY =$
$55 per person $45 per person Real Estate Development # of persons
(Day 2 only)
LATE REGISTRATION LATE REGISTRATION TOTAL: =$
Business of Fashion &
(After November 27th) (After November 27th) # of persons
Retailing (mainly Day 1)
$85 per person $75 per person
Food and Grocery METHOD OF PAYMENT
(Day 2 only)
Group of 5 or more: Group of 5 or more:
VISA MASTERCARD
$70 per person $60 per person Investing & Managing
Finance AMEX CHECK

C Youth Admission Scholarship Supplier Diversity and CASH/M.O.


Ages 10 thru High School Procurement

FOR OFFICE USE ONLY

CREDIT CARD # EXPIRATION DATE

CARDHOLDER’S SIGNATURE

PRINT NAME (as it appears on credit card)


Web Download Brooklyn Fashion Gallery

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