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ICI Institutional Trustees Conference
Monday, March 7, 2005
Fort Harrison State Park/The Garrison Conference Center
6002 N. Post Road, Indianapolis, Indiana

Fort Harrison State Park/The Garrison Conference Center, Indianapolis, Indiana Registration Deadline: February 15, 2004

Trustee First Name (as it should appear on name tag)
Trustee Last Name
Professional Title
College or University (at which you serve as Trustee)	(enter affiliation if not listed)
Email

Home Address
Street Address

City
State
Zipcode
Phone Number	(ex: 312-555-1212)
Primary Place of Residence	(check here if same as above )
Street Address

City
State
Zipcode
Phone Number	(ex: 312-555-1212)
I would like to reserve a room at the Kendall Inn at Fort Benjamin Harrison State Park for the night of Sunday, March 7, 2004.	Yes No

Registration expenses for this conference are provided by the generous support of The Lilly Endowment, Indianapolis, Indiana