24th Women's Empowerment Conference REGISTRATION FORM
First Name (Required)		Last Name (Required)
Phone
(  )    -
Email (Required)
Address
City	State	Zip
Do you plan to purchase a $15 lunch?
Yes No
How did you hear about this year's conference?
Email Friend Newspaper Postcard This Website Other
Have you attened a prior conference?
Yes No

For questions contact:
Valerie Gray, Coordinator
(707) 334-1986

Eva Coley, President
(707) 643-9171

Contact
Delta Sigma Theta Sorority, Inc.
Vallejo Alumnae Chapter
P.O. Box 841, Vallejo, California 94590
Founded in 1974