May 21-23, 2004
Providence, Rhode Island
STATE & ZIP_____________________________PHONE____________________
___ I am a family member/friend of a Silent Witness
I would like to speak at the
____ Saturday AM breakfast ___Saturday afternoon rally&march ___Sunday conference
___I have included photos of my state’s Silent Witness project for use in promotional materials. Please return them to me when finished.
___I will attend the Saturday breakfast event, Saturday march & Sunday conference ($60.00)
___I will attend the Saturday march & Sunday conference ($35.00)
___I will attend the Saturday breakfast event & Saturday march ($25.00)
___I will attend the Saturday march only – no fee required.
___My check is enclosed, made payable to Silent Witness National March,
in the amount of $________.
Saturday breakfast event includes: buffet breakfast at Westin Hotel, slide show presentation of Silent Witness event, music, international speakers & awards ceremony. ($25.00 per person).
Sunday Best Practices Conference includes: buffet breakfast at Westin Hotel, opening welcome from Janet Hagberg, Silent Witness Executive Director, 6 groups presenting their best practices programs from around the world, printed materials on programs, information from various state Silent Witness projects & awards presentation.
($35.00 per person).
I will be bringing _____ Silent Witness figures from the state/country of _________ for the
March on Saturday afternoon.
For more information about the March to End the Silence and Best Practices Conference, please contact Nancy Rafi at (401)847-2798 or by email at email@example.com
Your payment for each event is your confirmation of attendance. Please note that both Saturday morning breakfast event and Sunday conference have limited space and will be confirmed on a first come, first served basis.
Please send Registration Form & check payable to Silent Witness National March, to:
The Second National March to End the Silence, 22 Calvert Street, Newport, RI USA 02840
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