5th National Black Land Loss Summit
"Controlling Our Destiny from the Land to the Man"
February 7-9, 2003
Dudley Inn & Conference Center
900 E. Mountain Street, Kernersville, NC 27284
Phone (336) 996-2030, Fax (336) 996-4261
NAME
_______________________________________TITLE_____________________ORGANIZATION________________________________________________________
ADDRESS______________________________________________________________
CITY/STATE___________________________________ZipCode_______________
PHONE ________________ FAX___________________ E-MAIL__________________
ITEMS TO BE SOLD____________________________________________________
POSTER DISPLAY________________________________________________________
**Non-Profit Groups - Items To Be Sold - - $50.00 Per Table
For Profit Groups - Items to Be Sold -- $150.00 Per Table
Poster Display Only - - $20.00 Per Table
TOTAL ENCLOSED
$_______________Please make checks/money orders payable to:
Land Loss Fund, P.O. Box 61, Tillery, NC 27887Contact Gary R. Grant at 252/826-2800 or via e-mail at mailto:TILLERY@aol.com