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GLOBAL PAN-AFRICAN REPARATIONS CONFERENCE
Registration Form

July 24 - 28, 2006

Great Hall, University of Ghana at Lagon, Accra

July 22 - August 2, 2006, Ghana, West Africa

Complete, Print and Mail to the address below! or download Registration Form!

Conference Registration Deadline: July 1, 2006

Airfare Deadline: May 19, 2006

Contact Information

NAME:

TITLE:

ORGANIZATION:

ADDRESS:

EMAIL:
PHONE:
CELL:
WEBSITE:

Which activities do you plan to attend? (Check all that apply)

I want the full conference package (US).

I want air travel to Ghana.

I do not need air travel.

I want to attend Day 1 of the conference.

I want to attend Day 2 of the conference.

I want to attend Day 3 of the conference.

I want to attend Day 4 of the conference.

I want to attend the entire four (4) day conference [$150 (192 Euros)].

I want to attend Reconciliation Tours to Cape Coast and Benin [$130 (166 Euros)].

I do not wish to attend or participate in tours to Cape Coast or Benin.

I wish to attend Reconciliation Tour to Cape Coast only [$33 (42 Euros)].

I wish to attend Reconciliation Tour to Benin only [$100 (128 Euros)].
I am unable to attend, but WILL CONTRIBUTE $ towards a scholarship for a young

deserving person to attend.

I am unable to attend, but WILL CONTRIBUTE $ for treated mosquito nets for villagers.

Hotel accommodations: A block of rooms is currently being negotiated at neighboring hotels. Would you like accommodations 4/5 star hotel? other?

Do you require vegetarian meals?

Please fill out, print form and return via mail to:

N’COBRA-Ghana 2006, P.O. Box 90604, Washington, DC 20090,USA

Payments:

There is a registration fee for the conference: Diaspora residents, $150 for 4 days ($50 per day after July 1, 2006); Europe, 192 Euros for 4 days; Ghanaian and Continental residents, ¢400,000 Cedis for 4 days, or ¢450,000 Cedis for 4 days at the conference. Students have free access via scholarships.

Full conference package is $2975 (everything included, except visa and immune shots). Airfare is $1400 ($150 deposit) before May 19, 2006 and $1750 after May 19, 2006 (From US).

If using cashier check or money order make payable to: N'COBRA-Ghana 2006, P.O. Box, 90604, Washington, DC 20090 USA

For further assistance, email Conference Co-facilitator, Ms. Dorothy Benton Lewis, oravouche@aol.com. In the subject line of your email, put the name of your location. In Ghana contact Nii Addicco at (020) 8179365.

TOTAL CONTRIBUTION: