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National Immigrant Solidarity Network
4th National Grassroots Immigrant Strategy Conference
& Immigrant Rights Film Festival

April 10-12, 2009 UIC Student Center West
828 South Wolcott, Chicago, IL

http://www.ImmigrantSolidarity.org

Conference Hotline: (773)942-2268

Registration

Conference Registration Tabling Volunteer

Conference Registration Fee

*Organization/Regular Registration: $50 USD
*Student/Low-Income: $35 USD

3-Days Confernce Packet Includes:
- 4 meals (Fri 4/10 dinner, Sat 4/11 lunch/dinner, Sun 4/12 lunch)
- conference materials

On-line Conference Registration

Last Name:
First Name:
Organization:
E-Mail:
Phone:
Address:
Suite/Apartment:
City:
State:
Zip:

Registration Fee:

*Organization/Regular Registration: $50 USD
*Student/Low-Income: $35 USD
Additional Donation:
Total Amount:

How to Pay:

*If you're paid by check, please make sure complete the on-line registration form, and send your payment to:

National Immigrant Solidarity Network
P.O. Box 751 South Pasadena, CA 91031-0751

Check payable to: National Immigrant Solidarity Network/AFGJ
(with memo line: NISN Conference Registration)
Credit Card Type:
Credit Card Number:
Exp Year:
Exp Month:
Do You Need Translation?
If Yes, What Language?
Do You Need Child Care?
Dietary Preference:

Where to Stay:

*For complete information about crash housing, youth hostel and special conference hotel discount, please visit our
Conference Housing Page
Any Other Special Requests

Table Request Form

Last Name:
First Name:
Organization:
E-Mail:
Tel:
Address:
Suite/Apartment:
City:
State:
Zip:
Do You Sell Items

Tabling Fee:

*Sell Item Table: $100
*Non-Sell Item Table: $50
Additional Donation:
Total:

Payment Type:

*If you're paid by check, please make sure complete the on-line registration form, and send your payment to:

National Immigrant Solidarity Network
P.O. Box 751 South Pasadena, CA 91031-0751

Check payable to: National Immigrant Solidarity Network/AFGJ
(with memo line: NISN Conference Registration)
Card Type:
Card Number:
Expiration Year:
Expiration Month:

Please Consider Help Us Volunteer For the Confernce! 

Last Name:
First Name:
E-Mail:
Phone:
Conference Logistics:
Driver with Car:
Facilitator:
Welcome Table:
Food Crew
Baby Sitting
Translator:
What Language:
Other Tasks:
Available Time:
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