Brown v. Board at 50 . . . The Jubilee CLE Symposium!

Registration Form

 Name:  
 Attorney License #s and State 1)   (two letter abreviation)
Attorney License #s and State 2)   (two letter abreviation)
Attorney License #s and State 3)   (two letter abreviation)
Title/Position:  
Organization:  
Address  
City
  
 
State   (two letter abreviation)
  Zip  
Day Phone  
Home Phone (emergency use only)
    
 
Fax  
E-mail Address  
One Day Only ($255):  Wed., Mar. 24 Only; or Thurs., Mar. 25 Only
Both Days ($425):  Wed., March 24 and Thurs. Mar. 25

 Lunch

 Will you be having lunch at Cafe MN? Yes No

 


Payment:

Check (Payable to "Brown Jubilee Symposium") for $enclosed

VISA, MASTERCARD for $

Credit Card # Exp Date:

Signature__________________________________________

NOTE: Include credit card # ONLY if you are mailing or faxing your registration. Please do NOT send credit card # by e-mail as we are not encrypted to take it securely. See "E-MAIL" option below.

  Comments:

 

  Registration and Payment Options:
 1. BY MAIL: Print out this form and mail with check (made payable to Brown Jubilee Symposium) or credit card # to
Periaktos Productions, L.L.C
3213 West Main Street #272
Rapid City, SD 57702
 2. BY FAX: Print out this form and fax with credit card # to:
Periaktos Productions
(605) 786-0140
 3. E-MAIL: Fill out the form and e-mail to
administration@periaktos.com.
Please do NOT send credit card # by e-mail as we are not encrypted to take them securely. Just indicate that you want to pay by credit card and we will call you for your card number.
 4. BY PHONE:  Call Cat Nilsson at (866) 866-9024
to provide credit card number and the information above.

(Please note that these fees are for pre-registered attendees. Registration at the door will be $285 and $455 and on a space available basis only. Sholarships are available to legal aid attorneys and teachers. Special rates are also available for groups of five or more. Please call for further information.)

Confirmation of your registration will be sent to you when your form and payment are received.

Brown Jubilee Symposium

Schedule of Events

 Keynote Speakers & Presenters

General Information

 

Periaktos Productions

About Periaktos Productions

About Periaktos Personnel

Booking Information

Funding Assistance

Professional References

Performance & Workshop Schedule

Answers to
Frequently Asked Questions

To Request Further Information

Home Page

 

 A printed brochure is available on request. For further information contact:
Cat Nilsson
administration@periaktos.com
(866) 866-9024
or
Anna Marie Thatcher
productions@periaktos.comm
(877) 725-5150