Name_________________________________________________
Company______________________________________________
Address_______________________________________________
Phone_____________________Fax_________________________
Is this a new address? Yes ( ) No ( ) Copy of Student ID ( )

Choose Design Discipline:
Fashion ( ) Interior ( ) Industrial/Product ( ) Graphic ( ) Architect ( )
Other____________________

Each Registrant is asked to send a slide of your work with this form to be displayed during the conference. Copies only, please. Slide will NOT be returned.
Slide Enclosed ( )

Philadelphia Marriott Hotel Room rates: $129 Single $139 Double Occupancy Phone: 800-320-5744

Airline reservations: Magellan Travel Contact the OBD desk at: 800-323-9230 9:00am-5:00pm EST

PAYMENT $245 before Oct. 20 $295 after Oct. 20 Students: $135 Must supply copy of student ID

Check or Money Order enclosed Make check payable to: Organization of Black Designers (OBD)

Please bill my:

Visa ( ) MasterCard ( ) Discover ( ) American Express ( ) (check one)

Account number ____________________________________________
Print name as shown on card__________________________________
Expiration Date_____________________________________________
Signature_________________________________________________

Send this registration form to:
OBD 300 M Street, SW Suite N110 Washington, DC 20024

For information please call:
202-659-3918 Fax: 202-488-3838 Email: OBDesign@aol.com

ALL CREDIT CARD ORDERS MUST BE MADE BY SIGNED ORDER FORM FAXED OR MAILED TO OUR OFFICES. THIS IS FOR YOUR SECURITY

FOREIGN ORDERS MUST BE PAID BY INTERNATIONAL MONEY ORDER OR INTERNATIONAL BANK DRAFT IN U.S. DOLLAR AMOUNT EQUIVALENT OR THEY WILL BE RETURNED