NEA Black Caucus

NEA BLACK CAUCUS

ANNUAL BLACK ISSUES CONFERENCE
March 25-27, 2011
Drury Inn & Suites Baton Rouge
7939 Essen Park
Baton Rouge, LA 70809-7438
Ph: 225.766.2022 or 800.378.7946

Please mail registration form and check or money order payable to NEA Black Caucus to:
Gary Melton, NEA Black Caucus Treasurer
2412 Lahn Lane
Mays Landing, NJ 08330
Phone: 609.742.0795
Fax: 609.343.7408
Conference Attendee Registration:
Name: ________________________________________________________________________
Region: _______________________________________________________________________
Address: ______________________________________________________________________
City: _________________________________________State: _______________Zip:_________
E-mail: _______________________________________________________________________

Conference Fees: NEA BLACK CAUCUS MEMBERS: $130.00; NON-MEMBERS & GUESTS: $150.00
LATE REGISTRATION FEE: $175.00 CONFERENCE DEADLINE FEB. 24, 2011
Please enclose check or money order payable to: NEA Black Caucus. A fee will be charged for returned checks.

You may call the hotel our use the following link to reserve your hotel room:
www.druryhotels.com click on Book It Fast then enter group number 2107078.
(Room rates per night: DOUBLE - $80.00 KING - $90.00)



Booth/Vendor Registration: Please send the following registration form and check or money order to the address above.
Name: ________________________________________________________________________
Company: _____________________________________________________________________
Address: ______________________________________________________________________
City: ________________________________________State: ______________Zip: ___________
E-mail: _______________________________________________________________________
Vendor Fees: $100.00 per table on or before Feb. 24, 2011; $150.00 per table after deadline.

This form is available on our website: www.neablackcaucus.com