ARLIS/SE

Conference Registration Form

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The ARLIS/SE Regional Conference will be held from November 8-11, 2001 in Fort Lauderdale and Boca Raton, Florida. Veterans' Day is on Monday, November 12, 2001, so some of you may have off and wish to extend your stay an extra day.

This registration form is provided for you to fill out. You cannot register online for the conference with this form. Use the form below to fill out all of the information requested. Then, print out the form and mail with your check or money order payable to ARLIS/SE. You will be given a receipt with your conference packet when you register onsite. Incomplete registration forms may be returned. Mail this form and your check or money order by Monday, October 1, 2001 to:

Kathleen List, Director of Library Services
ARLIS/SE Secretary-Treasurer
Ringling School of Art and Design
2700 North Tamiami Trail
Sarasota, Florida 34234
 

NOTE
Conference attendees do not have to be registered members of ARLIS/SE, although members of ARLIS/SE will pay a slightly reduced conference rate. If you wish to join ARLIS/SE or renew your membership in ARLIS/SE, you may do so by submitting your annual dues with your conference registration fees.

Registration deadline is Monday, October 1, 2001.


Full Name:
First Name Preference (for badge):
Title:
Institution:
Library Name or Branch:
Street Address:
City/State/Zip:
Phone:Fax:
E-mail:
Home Street Address:
City/State/Zip:
Home Phone:
Home E-mail:

I prefer mailings at
Work
Home

Are you a member of ARLIS/NA?
Yes
No

On what day do you plan on arriving?
Thursday
Friday
Saturday

If you will have a car available, would you be willing to help carpool people?
Yes
No

Do you have ADA requirements? If so please specify these in the comments section below.

Comments:

CONFERENCE FEES

REQUIRED
$25.00 -- ARLIS/SE Members
$30.00 -- Non-Members
$10.00 -- Student Rate (must provide proof of student status)

SUBTOTAL of REQUIRED FEES

OPTIONAL
$25.00 -- Dinner Cruise on Friday night
$5.00 OR 3 for $10.00 -- LoPresti Book Raffle Tickets
$10.00 -- Annual ARLIS/SE Dues (Year 2002)
$5.00 -- Annual ARLIS/SE Dues for Students (Year 2002)
SUBTOTAL of OPTIONAL FEES

TOTAL AMOUNT ENCLOSED
 
 


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