Serials 2006 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

Fifteenth North Carolina Serials Conference

March 30 - 31, 2006

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

Payment should accompany advanced registration and be received by March 23, 2006. (After this date, please register but pay at the conference.)

Only Checks or Money Orders are accepted. Please make 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.