* 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:

** Pre-Registration Fee: Please Check:

Members ($20)	** Nonmembers ($25)
Student Members ($10)	** Student Nonmembers ($15)
Donation to CALAMW Annual Program $

(The registration fee includes: program breakfast, lunch, snacks, beverage, and souvenirs.)

The deadline for registration is April 30, 2005. An extra $2 fee will apply if registered after the deadline or on-site.

** Save $5 by becoming a member today. The individual membership is $30 and the student member fee is $15 . If you choose to join today, you can take advantage of the pre-registration fee for members ($20, $10 respectively).  Please fill out and submit the member application http://www.cala-web.org/forms/calaAppForm.htm along with your payment for the conference.

* May 13: Fellowship Dinner ($15/ea) at Mark Pi's China Gate:

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: (You can choose more than one)

• 3:15-4:00 pm Tour: Kinsey Institute Library (please link to http://www.indiana.edu/~kinsey/library/)

• 4:10-5:00 pm Tour: Main Library (please link to http://www.libraries.iub.edu/)

* 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)

• Grilled Chicken Breast over Fettuccine Primavera
• Spinach Mushroom Lasagna

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:

Wen-Ling Liu/CALA
Librarian for East Asian Studies
Main Library E860
Indiana University Libraries
1320 E 10th St.
Bloomington, IN 47405

Before Submit, please make sure you have filled out all the required fields with "*" .