American Indian Studies Conference

Conference Coordinator:

Brian Hosmer
Director,
CIC American Indian Studies Consortium
Committee on Institutional Cooperation
312/255-3564

CIC-AIS Annual Research Conference
"Native Peoples and Museums: Building Reciprocal Relationships for the Twenty-first Century"

September 10-11 , 2004
The Newberry Library
Chicago, IL

Registration Form

Admission is free to the keynote speeches. Admission to the entire conference will be $ 35.00 per participant. Every attendee must register, whether you are attending the entire conference or the keynote speeches only.

          Use the registration form below to register for the conference.

          Registration Deadline: August 31, 2004
          Registrations received after August 31 will be subject to space availability.

Please send a check by August 31 made out to:
Newberry Library,
60 West Walton, Chicago, IL 60610-3305.

You will receive a receipt after your check is received.

First Name:
Last Name:
Name (for Badge):
Institutional Affiliation:
Address:


City:
State, Zip Code:
Telephone:	Please use format 217-242-5555
Fax Number:	Please use format 217-242-5555
E-Mail Address:

Will you need any special accommodations?	Yes No
If you specified the need for special accomodations, provide details:

Please contact Brian Hosmer (312-255-3564) with questions or problems.