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| ADMINISTRATIVE NOTESNewsletter of the Federal Depository Library Program[ PDF version ]  [ Back   Issues ]  | ||||||||||||||||||||||||||||||||||||||||||
| REGISTRATION FORM FALL DEPOSITORY LIBRARY COUNCIL MEETING & FEDERAL DEPOSITORY LIBRARY CONFERENCE Washington, DC - October 17-20, 2004 | ||
| E-Mail or FAX to: | ||
| Ms. Michele Worthington | Email: mworthington@gpo.gov | Fax: (202) 512-1432 | 
| Name | ||
| Institution | ||
| Library/Office | ||
| Address | ||
| City/State/Zip Code | ||
| Telephone (include area code) | Fax | |
| E-mail Address | ||
| GPO will seek to make accommodations for attendees with disabilities. Please specify needs when returning this registration.Further, if you have a medical condition, you may want to list someone to contact in case of an emergency. | ||
| Special Needs | ||
| Emergency Contact Name/Phone | ||
| £I plan to attend the entire conference and would like to receive a CEU certificate for Continuing Education Units. | ||