Who Wants to Hear Our Story? Native American Media Symposium Registration Form

Please mail this form and $50 registration fee to Pat Powers, c/o Friends Committee on National Legislation, 245 Second St., NE, Washington DC 20002-5795.

If you have questions about the event or registration, please contant Adam Klepper at 800-630-1330 x2512

Yes, I will attend the Media Symposium on March 2-3, 2006! I've enclosed my check for $50 made out to the FCNL Education Fund, referencing the Native American Media Project on the memo line.
Please send me information about lodging near the symposium site. (Participants are required to find their own lodging for the event.)
Name
Street address
City
State/Province
ZIP/postal code
Country
Telephone numbers (Please include area/phone code.)
Home
Daytime
Email address
Organizational Affiliation

More About the Symposium