National Center for Great Lakes Native American Culture

2004 Spring Gathering Registration

NAME ______________________________________________________________________________________

ADDRESS ___________________________________________________________________________________

CITY _________________________________________ STATE _______ ZIP __________________________

PHONE ________________________________________ EMAIL ______________________________________


I have enclosed my registration fee of $20 per person. Amount Enclosed _____________

I will make my own motel or camping reservations before April 16. I understand my Saturday evening dinner is included in the $20 registration fee.

DEADLINE FOR REGISTRATIONS IS APRIL 16, 2004. Please mail to Kay Neumayr, including your registration fee, at:

NCGLNAC, Inc.
4950 North 750 East
Attica, IN 47918

Make checks payable to NCGLNAC.