BWLC 2011 Summit Registration

Regional/Chapter Directors:

Cynthia Carter
Georgia (incl. AL, NC, SC, FL, & Islands)
Leila Malik
Mid-Atlantic Region (incl. , MD, DC, DE, WV, VA)
Linda White
California (incl. AZ, OR, NV, UT, WA, HI, AK)
Maimouna Tamba
Monroe County (incl. Buffalo)
Guyla Wrens-Armstead
Detroit (incl. all of MI & Ontario, Canada)
Jeanetta Cooper-West
Texas (incl. AR, MO, LA, IN, MN, TN, NM, OK, CO, KS, NE)
Sakena Hillman
Chicago (incl. IA, WI)
Margaret Walker
Northeast (incl. NYC, PA, NJ, CT, MA, OH, KY)

First Name Last Name Company Organization/Division Title Street Address Address Line 2 City State Zip Phone Fax E-Mail

Select Registration Level: $125 - Full Conference Members/Xerox Exempt/Friends of BWLC $150 - Full Conference Non-Members/Guests $99 - Full Conference Members/Xerox Non-Exempt $99 - Students Please select a registration level.

Hotel Rooms

The hotel room rate for Friday (7/15) and Sat (7/16) is $135 per night (inc. taxes) or $67.50 per night per person, if sharing a room.

$270 - I want a room to myself. $135 - I will share a room with: Please select whether you will have your own room, or whether you will be rooming with a friend. Hotel Cost is Non-Refundable

Payment Method PayPal Mail a Check Payroll Deduction (Xerox Employees Only)

Employee ID Number: How many payments?

Please select a payment method.

Dreamcatcher (ignore this)