Registration Form
17th ANNUAL MEETING
JAPANESE LANGUAGE TEACHERS ASSOCIATION
OF
NEW ENGLAND
Saturday, August 23, 2003
8:00 - 5:00
Faculty Club, Massachusetts Institute of Technology
Cambridge, MA


Name: __________________________________________________________________

Title/Position: ____________________________________________________________

Affiliation: ______________________________________________________________

Address: ________________________________________________________________

________________________________________________________________________

Telephone: ______________________________________________________________

Fax: ___________________________________________________________________

Email: __________________________________________________________________

Home Address: ___________________________________________________________

Home Phone: ____________________________________________________________



Registration Deadline: Monday, August 4, 2003

Registration Fee:  $30 (On-site registration will be $35)
	Registration Fee includes a continental breakfast and a buffet lunch.
	Please make your check payable to MIT, Foreign Languages & Literatures.

Please mail your completed form with payment to:

	Yoshimi Nagaya
	14N-305
	Massachusetts Institute of Technology
	77 Massachusetts Ave.
	Cambridge, MA 02139