| Name | ||||||||
| Institution | Job Title | |||||||
| Mailing Address: Home ( ) Work ( ) Conference materials will be sent to this address | ||||||||
| City | State | Postal Code | ||||||
| Daytime Phone | FAX | |||||||
| Special Dietary Requirements: | ||||||||
|
Full Conference |
One Day |
$ |
||||||
| Early Bird Registration by 3/15/08 | COLT Member |
$160 |
N/A |
$ |
||||
| Non-Member |
$230 |
N/A |
$ | |||||
| Advanced Registration by 6/01/08 | COLT Member |
$175 |
$95 |
$ |
||||
| Non-Member |
$245 |
$145 |
$ | |||||
| Registration |
COLT Member |
$190 |
$110 |
$ |
||||
| Non-Member |
$260 |
$160 |
$ | |||||
| One-day Registration (Please indicate Thursday or Friday) | ______Thursday ______Friday | |||||||
| Home Library Sponsorship - Support from your library | $10 | $ | ||||||
| Banquet - Friday June 27, 2008 Guests invited | Number of persons attending: ____ x $50 = | $ | ||||||
| TOTAL REMITTED | $ | |||||||
Registration: All payments must be made by check or money order in U.S. Funds only and drawn on a U.S. bank. Make check out to COLT. Submit payment and registration form or requests for registration information to the address below.
Refund Policy: Refunds will be made only on condition that written notification is received by COLT, at the address below, no later than June 10, 2008. There will be a $25 administrative fee charged per individual registration refund. Refunds will be processed after August 1, 2008.
Mail form and payment to: Conference Registration, COLT, PO Box 42048, Mesa, AZ 85274-2048
stan.cieplinski@domail.maricopa.edu