FIFTEENTH ANNUAL CALIFORNIA INDIAN CONFERENCE Chaffey College Rancho Cucamonga October 14-15

Pre-Registration Form

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(Please print this form and mail to address below)   

California Indian Conference 2000

Chaffey College

Pre-registration Form

Name as you wish it to appear on your name tag:   _________________________________

Address: _____________________________City_______________State____ZIP________

Telephone (h) _________________(o)__________________e-mail ____________________

Fax _____________ Institution  _____________________ Tribal Affiliation ____________

Please help us plan the conference.  I will require :  Hotel ___  Airline ___  Rental Car __

The registration fee covers both Saturday, October 14 and Sunday, October 15.    All registration is $30.00 per person for one day or two.  Please fill out a separate pre-registration form for each person attending.