Open
Source, Open Sesame!
PTPL 85th
Annual Meeting – October 16, 2009
CONFERENCE
REGISTRATION FORM
Name of Attendee:
______________________________________________________________
Institutional
registration contact: __________________________________________________
Preferred
address: ______________________________________________________________
______________________________________________________________
Institution:
__ __________________________________________________________________
Email: ________________________________________ Phone: ________________________
Registration
fee
includes PTPL membership, conference, continental breakfast, and lunch.
Please note
deadlines below.
·
Early Bird
registration
deadline Sept. 11 $65 _____
(Must
be postmarked by Sept. 11)
·
Registration
deadline
Oct. 2
$75 _____
(Must
be postmarked by Oct. 2)
·
Student
member: $45 _____
(For
students enrolled in a Library
or
Information Science program)
·
Membership
only:
$10 _____
(Dues
only; does not include conference)
·
Would you
like
to make an additional
contribution to the
PTPL scholarship fund? $
_______
Total
enclosed:
$ _______
Forms of
Payment:
PayPal
Online
registration and payment may be made using PayPal at the PTPL
website: http://web.mac.com/ptpl/PTPL/Annual_Meeting.html
Check
Send
your completed registration form and check made out to “PTPL” to:
Linda
Wirth, PTPL Treasurer,
Phone:
(703) 978-0831 e-mail: llw@gwu.edu
For further information, please contact Polly
Khater: khaterp@si.edu
-- Suzanne Picken Integrated Library Systems Specialist Washington Research Library Consortium 901 Commerce Drive Upper Marlboro, MD 20774 Ph: 301 390-2039 Fax: 301 390-2020 email: picken@wrlc.org