Serials 2005 Conference Registration

Mail or Fax this form to ...

Cheryl L. Reddish
North Carolina Central University
School of Library & Information Sciences
PO Box 19586
Durham, NC 27707

Fourteenth North Carolina Serials Conference

April 14 - 15, 2005

Conference Fee: $200 (Does not include travel or accommodations)

Payment: Make checks payable to NCCU/SLIS

Name _________________________________________

Affiliation _______________________________________

Street Address ___________________________________

City/State/Zip ____________________________________

Day Phone __________________ Fax _______________

E-mail __________________________________________

Conference confirmation will be e-mailed to the address above.