Egbe Omo Yoruba
National Association of Yoruba Descendants in North America
Yoruba Convention 2011
New York, USA
Convention Registration Form ($125 Registration fee is required)
Questions marked by * are required. When finished, click the submit form to finalize and pay for your registration. Your form will be processed after your payment has been posted. A registration fee of $125 is required for all attendees. If you need assistance completing this form, please call 240-286-8300 or 225-620-3975.
1.
Title
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Mr.
Mrs.
Ms.
Dr.
Prof.
Alhaji
Alhaja
Reverend
Chief
Ogbeni
Otunba
Oloye
Omowe
Ojogbon
2.
First Name: *
3.
Last Name: *
4.
Email: *
5.
Membership Status
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Full
Affliate
nomember
6.
Chapter Affliation
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CONCERNED YORUBA COMMITTEE HOUSTON, TEXAS
EGBE ISOKAN YORUBA WASHINGTON, D.C
EGBE OMO YORUBA, GREATER CHICAGO, ILLINOIS
EGBE OMO YORUBA TI BALTIMORE, BALTIMORE, MARYLAND
EGBE OMO YORUBA OF BATON ROUGE, BATON ROUGE, LOUISIANA
EGBE OMO YORUBA BOSTON, MASSACHUSETTS
EGBE OMO YORUBA, DELAWARE VALLEY, PHILADELPHIA, PENNYSLVANIA
EGBE OMO YORUBA, MIAMI, FLORIDA
EGBE OMO YORUBA STATEN ISLAND, NEW YORK, NEW YORK
EGBE OMO YORUBA, GREATER NEW YORK CHAPTER ELMONT, NEW YORK
EGBE OMO ODUDUWA OF GREATER, ST. LOUIS, MO
EGBE OMO YORUBA TENNESSEE, NASHVILLE, TENNESSEE
EGBE OMO YORUBA, GREATER ATLANTA ALANTA, GEORGIA
EGBE OMO YORUBA, VANCOUVER BC, CANADA
ODUDUWA DESCENDANTS OF TAMPA BAY, FLORIDA TAMPA BAY, FLORIDA
ODUDUWA HERITAGE ORGANIZATION OF OAKLAND, CALIFORNIA
YORUBA DESCENDANTS UNION OF JACKSONVILLE, FLORIDA
7.
Address
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City
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State
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Zip/Postal Code
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Country
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Telephone Number
13.
What is the best way to contact you?
Telephone
e-mail
postal mail
14.
Message: If you will need special assistance during the convention, please drop us a note here.