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Internet Librarian 2007 Conference
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| Attendee Name and Title |
OCLC Symbol |
| Attendee Institution |
Phone |
| Attendee Address |
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| E-mail |
Fax |
| Signature of Official
Representative/Authorized Person |
Bill to OCLC Symbol |
| Bill to Institution
(if different from above) |
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| Bill to Address
(if different from above) |
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| Conference
Selection: Internet@Schools 2007 Conference - $169.00 per person (regularly $199.00) - October 29 - 30, 2007 Conference Combo - $255.00 per person (regularly $429.00) - October 29 - 31, 2007 Internet Librarian general conference and Internet@Schools conference |
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| Payment
Type: Credit Card - Enter information on Internet Librarian 2007 Conference Registration Form Pay by Check - Please make checks payable to: NELINET, Inc. Debit my Deposit Account - NELINET debits your Core (C) Account for these charges. To apply these charges to a different account, please indicate the account letter. _______ |
| FAX this form, along with the Internet Librarian 2007 Registration Form to: Maria Brady (Fax: 508.460.9455) |
| MAIL this form w/Check, along with the Internet Librarian 2007 Registration Form to: NELINET, Inc., c/o Maria Brady, 153 Cordaville Road, Suite 200, Southborough, MA 01772 |
Questions or Special Requirements: Please notify Maria Brady (1.800.635.4638 x1945 or brady@nelinet.net).
June 20, 2007