Registration Form for Keynote Banquet
Seventh Native American Symposium
with Rennard Strickland
November 2, 2007 8:00 PM
Please Print or Type:

Name:__________________________________________________________________________________


Address:_______________________________________________________________________________

E-mail address:________________________________________________________________________

Phone:_________________________________________________________________________________

Banquet Meal is $20.00 per person

Number of persons in party: ___________________________________________________________

Total Enclosed:________________________________________________________________________

Please enclose a check or money order made out to the Southeastern Foundation and mail this form with your payment by Thursday, October 25, 2007 to:

Dr. Mark B. Spencer
Box 4121
Southeastern Oklahoma State University
Durant, OK 74701-0609


LATE BANQUET REGISTRATION CANNOT BE ACCEPTED


FOR FURTHER INFORMATION CONTACT:

Dr. Daniel Althoff
Department of English, Humanities, and Languages
Southeastern Oklahoma State University
Durant, OK 74701-0609
(580) 745-2584
dalthoff@se.edu

All symposium sessions are free and open to the public.

Please contact Dr. Daniel Althoff at (580) 745-2658 or Southeastern Oklahoma State Unicersity at (580) 745-2394 to request assistance due to a disability. Accommodations cannot be guaranteed without adequate advance notice.