Registration Form--Indianapolis

Registration Form
Indianapolis, IN, USA, June 6-11, 1998

Special Note: To better serve conference attendees, SLA will provide exhibitors with a pre-registration list (upon request) thereby enabling you to be notified beforehand of special offers made by exhibitors

1) Please Print My Badge To Read:

(Preferred First Name)

(Complete Name)

(Organization, no acronyms please)

(City, State/Province, Zip & Country)

2) Registration Mailing Address:

(Member ID from Mailing Label)

(Job Title)

(Organization, no acronyms please)

(Department)

(Street Address)

(City, State/Province, Zip/Postal Code)

(Country)

(Daytime Phone) (Daytime Fax)

(E-mail Address)
Please update my member record with the above information.
My first SLA annual conference.
Speaker/Moderator/Panelist/Facilitator

Please enter initials here

3) Ticketed Event Orders:

Ticketed Event Number Cost

• Middle Management Institute (June 6-7)

Analytical Tools #110

Human Resources #115

• Continuing Education Courses:
Please remember to fill in alternates.

Sat #

Sat (Alternate) #

Sun #

Sun (Alternate) #

Thur #

Thur (Alternate) #

SS#/Personal Identification #
(Required for MMI and CEU course credit)

Other Ticketed Events:

SLA President's Reception #325 x =

SLA Awards Banquet #625 x =

Event, # x =

Event, # x =

Event, # x =

Event, # x =

Event, # x =

Event, # x =

Event, # x =

4) Registration Fee:

Member "Early Bird" (by May 1) $165.00

Member (after May 1) 210.00

Member One Day M T W
Check Day(s) 120.00

Retired 85.00

Student 85.00

Please enter initials here

Member rates apply to members of the associations listed below. Indicate your membership here, if any:

member #

Am. Assoc. of Law Libraries (AALL)

Am. Society for Info. Sci. (ASIS)

Art Libraries Society of North Am. (ARLIS/NA)

Asso. of Independent Info. Professionals (AIIP)

Australian Library & Info. Assoc. (ALIA)

Canadian Library Assoc. (CLA)

Medical Library Assoc. (MLA)

Nonmember "Early Bird" (by May 1) $270.00

Nonmember (after May 1) 320.00

Nonmember One Day
S M T W - Check Day(s) 155.00

At this point, please print the registration form by clicking the print button and then complete the payment information and fax it to: Special Libraries Association (202) 234-2442

5) Total Amount Enclosed:
Please enter the total calculated amount from all of the above entries. Fees are payable in U.S. dollars only. Please make checks payable to: Special Libraries Association.

Total Amount Enclosed

(Total amount should reflect conference payment only. Please do not include dues or other types of payment.)
Or, charge my credit card: Mastercard VISA Amex Diners Club
Number
Expiration Date
Signature
(Card Holder)

This page was updated on March 24, 1998.