February 20-22, 2008

 Mashantucket Pequot Museum and Research Center

Mashantucket, Connecticut

            Last Name:                                             First Name:                                        

Tribal Affiliation                                                                                               

Educational Institution                                                                           

Mailing Address: Street:                                                                                    

City:                                         State: _______ZIP:                 Country:                        

Work Phone:                                         Home Phone:                           

FAX:                                                    E-Mail                                                 

Note:  all registrants will be served a full breakfast and lunch daily in the Museum restaurant

Registration Fee Schedule

If payment received on or before February 1^st, 2008 fee includes free Museum Exhibits pass:

$125.00 or $75.00 if Student [please bring your student ID for verification] or Senior [55+]

If payment is received after February 1^st, 2008 fee does not include free Museum pass

$150.00 or $75.00 Students and Seniors 

Daily rates available; does not include free Museum pass:

$75.00    Wednesday, February 20^th

$75.00    Thursday, February, 21^st

$50.00     Friday, February 22^nd

$50.00    Banquet fee: Thursday, February 21^st Lake of Isles Resort Grand Ballroom 6-10pm

Payment Type:           Check            Money Order _____Credit Card [Visa, MC]

Please make checks or money orders payable to:  MPTN - Language Conference

For credit card payment, name as it appears on the card: ____________________________________

Card # ____________________________      Expiration Date_______________

Return completed form and payment to:                       

Scholarships are available for deserving individuals who would like to attend the conference but require financial assistance. If you are interested in applying for a scholarship please write a brief letter explaining your Tribal affiliation, and your role or interest with regard to language reclamation for the Native American community in which you reside or teach.  Please provide a brief summary of why you feel you should receive a scholarship and send to the attention of Deborah Gregoire at the address above or e-mail to dgregoire@mptn.org.