Register for ILI Symposium Series 2011

Late Registration: $225 (Available until October 24)
Student and Elder Registration: $150

Fields marked (*) are required. When finished filling out the form, please click the Next button.

Registration type*	Students must fax a copy of their school ID to 505-820-0311 Elders 65 years or older qualify for the "Elder" registration
Email Address*
Last Name*
First Name and Middle Initial*
Tribe or Affiliation
Native Language

Institute, Organization, Place of Employment*
Business Address*
City*
State/Province*
Zip/Postal Code*
Business Telephone Number*
Business Fax Number

Home Address
City
State/Province
Zip/Postal Code
Home Telephone Number*
Home Fax Number
T-shirt Size*

Registration fee is non-refundable. No exceptions.
Registration includes t-shirt and one banquet ticket.
Purchase Orders: Send copy of PO to ILI with billing instructions and billing contact info. Once PO is received, ILI will send invoice to billing department. Payment must be received prior to workshop date.
Payment must be received to guarantee seat.

Please verify that everything is complete, then click the “Next” button

Indigenous Language Institute
Street Address: 1501 Cerrillos Road - U-Bldg • Santa Fe, NM • 87505 • USA
Phone: 505/820–0311 • Fax: 505/820–0316