NATIONAL COUNCIL OF LA RAZA Midwest Affiliate Listening Tour September 2021, 2004 Kansas City, MO REGISTRATION FORM Please complete this form and fax to 312/2699260 or email Jode Ocampo, at, jocampo@nclr.org NO LATER than September 3, 2004. Thank you. Name/Title:_______________________________________________________________________________ Affiliate: _________________________________________________________________________________ City/State/ZipCode:_______________________________________________________________________ Phone: ____________________________________Fax:___________________________________________ Email: _____________________________________________ Day and approximate time of Arrival and Departure: ______________________________________________
Will you be staying at the event hotel The Hyatt Regency Crown Center 2345 McGee Street Kansas City, MO 64108 1.800.233.1234 1.816.421.1234 YES____ NO ____ Shuttle is available within a radius of 5 miles 89.00 Single/Double/Double (Individuals must make their own reservations before September 13th) Please instruct Hyatt staff that this is the National Council of La Raza (NCLR) room block Transportation will be provided to the meeting sites Please mark the events you plan on attending: Midwest Affiliate Networking and Roundtable with NCLR President/COO Janet Murguia Monday, September 20, 10:00 am 4:00 pm Guadalupe Center, Inc 1015 Avenida Cesar E Chavez Kansas City, MO 64108 ____Yes ____No Janet Murguia Affiliate Listening Tour Reception Hyatt Regency Crown Center Monday, September 20, 6:00 8:00 pm Yes No NCLR National Week of Action Media Event
El Centro, Inc. 650 Minnesota Ave Kansas City, KS 66106 Tuesday, September 21, 9:00 am 3:00 pm Yes No Jo80103