California Indian Energy Symposium

The Seven Hills Conference Center,

Registration Form (Groups of 3 or more)

Registrant Information

Please include the following information for all individuals being registered in this group:

Name

Affiliation

Address

City, State, Zip

Phone

Email

Please also identify the person that should be contacted if there are any questions related to payment on this group registration.

Payment Information

__ $50.00 per person (including on-sight registration, no single day discounts available)

Enclose a check or money order made out to the American Indian Studies Department
and send along with this form to:

American Indian Studies Department

Re: California Indian Energy Symposium Registration

Attn: Prof. Joanne Barker

San Francisco State University

1600 Holloway Avenue

San Francisco, CA 94132

No refunds on group registration will be made on requests received after January 30.