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Annual Juneteenth Community Recognition Luncheon Registration Form

Annual Juneteenth Community Recognition Luncheon

The California Black Chamber of Commerce Foundation

& AT&T, Pacific Gas & Electric Company and Wells Fargo

Proudly invites you to.

The Commemoration of the Emancipation Proclamation

Friday, June 19, 2009

Contact name
Address
City
State
Zip
Telephone
Fax
E-Mail
Method of payment:
Card #
CVV #
Exp date
Name on card
Type of registration:
Adult In advance $40 x
High School & College Students $15 x
Amount	$40