Electronic Registration

For use with credit cards only

Registration deadline for the conference is March 14th. Cost for the day-long conference, including lunch, is $40.00 after the March 14th deadline.

If you wish to pay by credit card, you can register by filling in the following form. This form is not secure--if you are concerned about security with this system, please use the printable form, and mail or fax it to SCRLC. If the buttons and fields do not show up below on your browser, you will also need to use the printable form.

Name(s):

Organization:

Address:

City/State/Zip:

Phone:

Email address:

Fee: people at $40.00/person = $

Payment by: Mastercard VISA

Mastercard/VISA card number:

Name on card:

Expiration date:

Make sure you have entered all fields, especially credit card information, before submitting. Registration will not be processed unless payment information is included.

Please note: REGISTRATION DEADLINE IS MARCH 14, 1997.

Late registration is $40.00.

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last modified 3/19/97 jrh