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Pay Online for the October 18th Race and Racism Dialogues Forum using the Form below.

We also have Online Registration available for the Forum.
Thank you for registering for the Race and Racism Dialogues:
ERASE Racism
6800 Jericho Turnpike, Suite 109W
Syosset, NY 11791-4401
1) Select the number of seats
2) Choose registration price based on status
3) Click "Pay Online" below.

If the cost of this forum is an impediment to you attending, please call ERASE Racism at (516) 921-4863.

In order to help facilitate the registration process, please be sure to use the online payment method below, or print a registration form and send it along with a check via postal service.


Number of Seats Reserved:


$35.00 Standard fee / per seat

$.00 Other Amount / per seat
ERASE Racism does not share personal information with any outside parties.
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Contact:
Rosemarie
Phone:
(516) 921-4863 x 13


6800 Jericho Turnpike, Suite 109W, Syosset, NY 11791-4401 • Phone:(516)-921-4863 • www.eraseracismny.org

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