Pre-Registration Form

"The Future of Japanese Language Education: Where Have We Been and Where Are We Going?"
Tenth Annual Conference of the Central Association of Teachers of Japanese
(Formerly known as Lake Erie Teachers of Japanese, LETJ)
Indiana University at Bloomington
April 3-4, 1998


Name: _____________________________________________________


Institution:_______________________________________________  
	
Level:_____________________________________________________ 
	
Work address:______________________________________________ 


Home address:______________________________________________


Phone number(s):  Office:__________  Home:_________________


Fax:________________  E-mail:______________________________ 


If you have any dietary restrictions, please describe: 






Please check any of the following that apply:


___I would like to reserve a single room in Eigenmann Hall (dormitory)
	and have enclosed the Eigenmann reservation form.


___I would like to apply for a travel grant and have enclosed the travel
	grant application form and a brief statement of need.
___I am a student and would like my registration fee waived.


Please fill out this form and return it with a $10.00 check made payable to the Indiana University Foundation for the registration fee (if applicable) by March 12th to:

Margaret Key, Language Pedagogy Project Coordinator
East Asian Studies Center, Indiana University
Memorial Hall West 207, Bloomington, IN 47405
phone (812) 855-3765 or (800) 441-EASC, fax (812) 855-7762


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Document Revision: by easc@indiana.edu