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Why just surf the 'Net when you can make waves?

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
Or, contact: lita@ala.org for a registration flyer and form.

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.


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Version: 1.0
Last updated: 2/25/97
Author: Eric Lease Morgan (eric_moragn@ncsu.edu)
URL: http://sunsite.berkeley.edu/~emorgan/waves/