Registration Form


	ARLIS/SE - Art Libraries Society of North America/Southeast Chapter


	Registration Form

ARLIS/SE 31st Annual Chapter Meeting
St. Petersburg, Florida, November 10-13, 2005


	$35.00

Member registration (includes tours)


	$35.00

Guest registration (includes tours)


	$15.00

Student registration (includes tours)

Optional Dinner Friday at Dish
(includes soft drink & tip)

$25.00


	$15.00

Chapter Dues (for 2006)

New Member?

Renewal?


	Subtotal:

Number of LoPresti Raffle Tickets:


	LoPresti Total:

[LoPresti Raffle Tickets = $5/each, or 3 for $10]


	Total Enclosed:


	Name:


	Institution:


	Address:


	City:


	State/Prov:


	Country:


	Zip/Post. code:


	Phone:

(work)


	E-mail:

Please fill out the form above (one per registrant) with needed info, print it, and send with check payable to ARLIS/SE by October 24, 2005 to:

Allen Novak, Slide/Visual Resources Librarian
Verman Kimbrough Memorial Library
Ringling School of Art and Design
2700 North Tamiami Trail
Sarasota, FL 34234
Phone: (941)-359-7583, Fax: (941)-359-7632

Hotel reservations made separately by contacting hotel directly by October 10, 2005. Mention ARLIS/Southeast when registering. [Conference Rate: $124/night +tax, $10/day valet parking. Hourly parking also avail.] :

Hampton Inn & Suites
St. Petersburg/Downtown
80 Beach Drive N.E.
St. Petersburg, Florida 33701
Tel. (727) 892-9900
Fax (727) 892-9205

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