Visualizing the Past

Sponsored by the Center for Historic American Visual Culture
at the American Antiquarian Society
and the
New England History Teachers Association

at the
American Antiquarian Society
Worcester, Massachusetts
Friday, October 13th, 2006
8:30 a.m. - 4:30 p.m.

REGISTRATION FORM

To register for the conference by mail, please complete the form below and mail it along with a check for $75. made out to NEHTA ($60. for members of NEHTA).
Mail the form and check to:
James David Moran, Conference Chair
American Antiquarian Society, 185 Salisbury Street
Worcester, MA 01609-1634

 

First Name:____________________ MI:_____ Last Name: ____________________
Professional Title: ______________________________
Primary Institutional Affiliation: ___________________________________________
Street Address: __________________________ Apartment/Box Number:________
City: _____________________________ State: _______ Postal Code___________
Telephone Number: _______________________ Email Address: ___________________

Would you like a vegetarian lunch? ___________

Circle Your Session Preferences: Morning Session: A , B, C, D Afternoon Session: E, F, G, H