2011 Sister's Empowerment Conference

Thank you for registering to attend the 2011 Sisters' Empowerment Conference. Your registration fee includes workshops/activities, a delicious halal lunch and networking opportunities amongst muslimahs from various walks of life. This one-day conference is only for women. No men or children under 12 are allowed. TO REGISTER: please complete this form and then return to the conference website to submit your payment online. Registration forms submitted without payments does not secure your space!

2011 Sisters' Empowerment Conference

First Name

Last Name

Organization

Address 1

Address 2

City

State

Postal Code

Home Phone

Alternate Phone#

Email Address

Total number of people attending in your party (include yourself):

Meal Preference:

Complete this section if your young daughter(s) (age 13-19) will be attending with you. Please include her first and last name, age and her meal preference in the field below. Do not complete if you are NOT bringing a young female child within the required age bracket. Thank you.

If you are unable to attend and wish to substitute a specific person to come in your place, please write their first and last name below. You have until Septemer 10th to substitute someone.

Did you attend our first Sisters' Empowerment Conference in 2009?

Registration fee includes workshops and lunch for one day. Once you have submitted this registration form, please return back to the conference website and submit your payment online on the 'registration' page.

How did you hear about this conference??

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Email	Word of Mouth
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