YWCA Greater Charleston

REI Registration Form - October 23-24, 2017

* required information
RACIAL EQUITY INSTITUTE REGISTRATION 
Registration Information
If you are registering/sponsoring more than one person, enter the first registrant below. Additional registrations will be entered later in the process. Sponsorship/payment information will be entered on the next screen.
Company Name:
First Name:*
Last Name:*
Email:*
Phone:*
Registration/Sponsorship
$400.00 Individual Registration/Sponsorship
Quantity:*
Total Cost: $
Additional Information
If you are sponsoring registrants, check the button below and enter the name of the sponsoring organization or individual
I am sponsoring registrants: Yes
Sponsoring Organization/Individual: