hbcudsdeanreg

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Fourth Annual National HBCU Schools of Business Summit

Dean's Registration Form

If you have questions or need additional information, please contact Joseph Boyd at (713) 313-7215 or Saki Indakwa at (713) 313-6888 or indakwa_sa@tsu.edu.

REGISTRATION DEADLINE IS MAY 5, 2006.

* Required Fields
First Name*:
Middle Initial
Last Name*:
Title*:
School*:
Address 1*:
Address 2:
City*:
State*:
Zip*:	(xxxxx-xxxx)
Phone:	(xxx-xxx-xxxx)
Fax:	(xxx-xxx-xxxx)
Email*:
Emergency Contact's Name:
Emergency Contact's Phone Number:
Arrival Date:	June
Departure Date:	June
Questions
Yes No	Golf at Mahogany Run Golf Course on Sunday, June 11, 2006 at 9 a.m. Cost: 18 holes $110.00 per person\| Club Rental $40.00\| Shoe Rental $15.00
* The HBCUs Business Deans Roundtable will only pay for the cost of your hotel and food. Any additional activities are your responsibility. If you would like to play golf, make your check payable to the National HBCU Business Deans Roundtable. Send this form along with your check to Jesse H. Jones School of Business, Texas Southern University, 3100 Cleburne St., Houston, TX 77004.
Yes No	Will you have an accompanying guest? (Please have guest fill out separate guest registration form.