REGISTRATION FORM Please print and fill in this form. Mail or fax with payment to:
LITA Regional Institute Library and Information Technology Association 50 East Huron Street Chicago, IL 60611-2795 (312) 280-3257 : 'fax
Name (as it should appear on your badge): Organization (as it should appear on your badge):
Mailing Address: City: State: Zip:
Phone: Fax: E-mail:
Fee (check one): LITA member $110 ALA member $145 Nonmembers $160 Late Registration (after March 7, 1997) add $30
ALA Membership Number:
Written cancellations will be honored until March 7, 1997, subject to a $25 fee.
Payment must be enclosed to reserve space.
Payment method:
Check, money order, or purchase order Charge to: VISA MC AMEX
Card Number: Expiration Date:
Signature (required for credit cards):
Registration fee includes break and lunch from The Cheese Shop - renowned for its sandwiches. Select: Roast Beef Veggie
LITA reserves the right to cancel in case of insufficient registration to cover costs. Neither LITA nor ALA is responsible for cancellation charges assessed by airlines or travel agencies, or other losses incurred due to cancellation of the institute.
Version: 1.0 Last updated: 2/25/97 Author: Eric Lease Morgan (eric_moragn@ncsu.edu) URL: http://sunsite.berkeley.edu/~emorgan/waves/