2009 NWIUG Conference Registration Form

Conference Information

Registration:	Thursday, September 10th, 8:00am Friday, September 11thth, 8:00am
Conference:	Thursday, September 10th, 9:00pm - 5:00pm Friday, September 11th, 9:00am - 4:00pm
Reception:	Thursday, September 10th, 5:00pm - 7:00pm
Registration Deadline:	September 4th, 2009
Location:	Chemeketa Community College, Salem
Cost:*	$40

*Cost covers registration materials, refreshments, and Friday's lunch.

NOTE: If payment will need to go through channels at your institution, please submit the form now so we know that you plan to attend and indicate in the Comments box below that your institutional payment is in process.

Registrant Info

Name
First* Last*
Title

Organization Information
Institution

Mail Address
Street*
City* State* Zip*

Contact Information

Phone*
Fax

Email*
Confirm Email*

Registration Info

Badge Name*
Days Attending Thursday
Friday
Both
Attendance Category Regular
Presenter
Steering Committee
III Staff
I plan to attend these space limited programs:
Populating ERM License Records: Getting Started – Diane Carroll
Hands-on WebBridge workshop – Doris Munson (Note: Only one hands-on access per WebBridge account)
Workshop on Web OPAC customization – Bob Duncan
I plan to attend:
Wine and Cheese Reception – Thursday, September 10th, 5 pm

Accommodations

If you require accommodation for a disability or have any other need for special assistance, please specify your request here. Also please indicate here if you have any special dietary needs. All requests should be in by September 4, 2009.

Accommodations

Comments

Payment Method (US Dollars only)

Check
OUS Fund (Chart H -- Index Code AGE825 -- Account Code 08001)
Credit Card