Conference Registration Form: Council for Northeast Historical Archaeology October 21-23, 2011 Utica, NY DEADLINE FOR PRE-REGISTRATION: August 30, 2011 Instructions: An online registration payment form will be added to the CNEHA conference website (http://www.utica.edu/cneha2011) if you wish to pay and sign up for conference events through the internet. Alternatively, you may download this document, fill in the appropriate information, and send the completed form as an email attachment in MSWord 2003 format (.doc) to cneha2011@utica.edu. If you do not have access to email, please mail this form to: Dr. Helen Blouet CNEHA 2011 Co-Chair Department of Sociology & Anthropology Utica College 1600 Burrstone Rd. Utica, NY 13502 Name:____________________________________________________________ Affiliation:_________________________________________________________ Address:___________________________________________________________ City: State/Prov: Zip/Postal Code:_________________________________________ Phone: ___________________ Email:_____________________ Conference Pre-Registration Fees (Pre-Registration Deadline: August 30): Pre-Registration for paid 2011 CNEHA members $55.00 US/CDN Pre-Registration for non-members $65.00 US/CDN Student Pre-Registration with ID $25.00 US/CDN ____ ____ ____ On-Site Registration: Paid 2011 CNEHA members Non-Members Students with ID ____ ____ ____ $65.00 US/CDN $75.00 US/CDN $35.00 US/CDN *If you plan to present a paper or poster, please complete the Abstract Submission Form, available on the conference website. Events: Reception at F.X. Matt Brewery (Friday 10/21, 6:00-8:00) Banquet (Saturday 10/22, 7:30-10:00) Banquet attendees can choose from the following entrees: Roast Beef ___ Chicken ___ Salmon ___ (Select one) Breakfast Meeting (Sunday 10/23, 7:30-9am) FREE: I plan to attend____ $40.00 US/CDN ____ FREE: I plan to attend____ Workshops: Friday, October 21st—Under Construction; You will be able to sign up and pay for workshops separately. Please check the CNEHA 2011 conference website regularly for workshop updates. Tours: Friday, October 21st Tour 1: Cooperstown (8:00-4:00) US/CDN $45.00 ____ A day trip to Cooperstown will provide participants a chance to visit the world-class Farmers’ Museum and the Fenimore Art Museum, the traditional Belgian Brewery Ommegang and, of course, the National Baseball Hall of Fame. Price for the tour includes transportation. Limit 40 people. Tour 2: Oneida Community Mansion House and Shako:wi (8:00-1:00) US/CDN $35.00 ____ Participants will visit: 1) the property and settlement created by the utopian Oneida Community (18481880), and 2) the Oneida Indian Nation Cultural Center. Price for the tour includes transportation and entrance into the Mansion House museum. Limit 40 people. Tour 3: Fort Stanwix (8:00-1:00) US/CDN $25.00 On this tour, participants may explore a reconstruction of the Fort and tour the Marinus Willett Collections Management and Education Center. ____ Price for the tour includes transportation. Limit 40 people. TOTAL _____ Payment Options: (select one) ____ Check: Please make checks payable to “CNEHA 2011” ____ Credit Card: Please complete the following: ____ Visa ____ Master Card ____ American Express ____ Discover (select one) Name on Credit Card: ___________________________ Credit Card Number: ____________________________ Security Code: _________________________________ Expiration Date:________________________________ *If you have any special needs that you think the conference organizers should be aware of, please contact Tom Crist or Helen Blouet at cneha2011@utica.edu.