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Conference Daily Schedule

NO INFORMATION AT THIS TIME
2ND ANNUAL
"SOUTHERN SOUL FAMILY JAM"
SCHEDULED 2006

Membership Information

 
SOUTHERN SOUL FAMILY JAM 2006
REGISTRATION FORM
 
Name:____________________________________
 
Company:_________________________________
 
Address:__________________________________
 
Home Phone:____________________
 
Work Phone:____________________
 
E-mail:_________________________
 
AmEx______ Visa_______ MC_______
 
Discover_______Diners Club_______
 
Card Number:____________________________________
 
Ex. Date:_________
 
Last 3 number on the back of card (optional):_________
 
Signature:_______________________________
 
Would you be interested in our newsletter?
Yes__________     No___________
 
Best time to call:_________________ (morning, afternoon, evening)
 
Would you be interested in information on other events?
Yes__________     No___________
 
Send Cashier's Check or Money Order to the address below


"Southern Soul" Family Jam
134 Miami Place
Kenner, LA 70065-4030