CALAMW 2006 ANNUAL CONFERENCE Cleveland, Ohio, May 6 2006 Cleveland Public Library, Co-Host
Registration Form * Last Name: * First Name: Chinese Name: Job Title: Institution: Mailing Address: * Street: * City * State IA IL IN KS KY MI MN MO MS NE ND OH SD WI Other * Zip * Tel: * Email: ** Registration Fee: Please Check:(The registration fee includes: program breakfast, lunch, snacks, and beverage.) Members ($20) ** Nonmembers ($25) Student Members ($10) ** Student Nonmembers ($15) Donation to CALAMW Annual Program $ Other help you would like to provide to this Program Hotel room share for more people Provide ride from for people Other. Please specify: * May 5: Fellowship Dinner ($15/ea) at Bo Loong restaurant. Click here to see the menu: Yes (Remember to add $15 in your total below if you choose "yes") No * Total on my check $ (Please put in only numbers without a period, comma or zeros, and without a $ sign; e.g. CORRECT: 25; NOT CORRECT: $25.00) * Please indicate in the following: I plan to attend: 4:00-5:00 pm Tour: Cleveland Public Library Yes No * Please select one main dish for your lunch options: (Lunch is served with Fresh Garden Salad, Country Style Green Beans, Dinner Rolls, Lemonade and Coffee) Sandwiches: Meat Sandwiches: Vegetarian The deadline for registration is May 1, 2006. An extra $5 fee will apply if registered after the deadline or on-site. ** Save $5 by becoming a member today. If you choose to join today, you can take advantage of the pre-registration fee for members, the individual membership fee will reduce to $20, and the student member fee will be $10. (The regular individual membership fee is $30 and the student member fee is $15.). Please fill out and submit the member application http://www.cala-web.org/forms/calaAppForm.htm along with your payment for the conference. ** CALAMW Chapter provide limited grants to assist students attending the program. Please see the detail of funding application. For online registration, please print this form before submitting it. Make your check or money order payable to CALAMW and send the form and your payment to: Lisa Zhao/CALA Catalog Dept Daley Library (m/c234) University of ILL at Chicago Box 8198 Chicago, IL 60680-8198 Before Submit, please make sure you have filled out all the required fields with "*".
** Registration Fee: Please Check:(The registration fee includes: program breakfast, lunch, snacks, and beverage.)
* May 5: Fellowship Dinner ($15/ea) at Bo Loong restaurant. Click here to see the menu:
Yes (Remember to add $15 in your total below if you choose "yes") No
* Total on my check $ (Please put in only numbers without a period, comma or zeros, and without a $ sign; e.g. CORRECT: 25; NOT CORRECT: $25.00)
* Please indicate in the following:
I plan to attend: 4:00-5:00 pm Tour: Cleveland Public Library Yes No
* Please select one main dish for your lunch options: (Lunch is served with Fresh Garden Salad, Country Style Green Beans, Dinner Rolls, Lemonade and Coffee)
The deadline for registration is May 1, 2006. An extra $5 fee will apply if registered after the deadline or on-site.
** Save $5 by becoming a member today. If you choose to join today, you can take advantage of the pre-registration fee for members, the individual membership fee will reduce to $20, and the student member fee will be $10. (The regular individual membership fee is $30 and the student member fee is $15.). Please fill out and submit the member application http://www.cala-web.org/forms/calaAppForm.htm along with your payment for the conference.
** CALAMW Chapter provide limited grants to assist students attending the program. Please see the detail of funding application.
For online registration, please print this form before submitting it. Make your check or money order payable to CALAMW and send the form and your payment to:
Before Submit, please make sure you have filled out all the required fields with "*".
Call for Presentations | Hotel/Travel Information | Program/Local Arrangement Committee | Registration