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