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Registration: Spring 2009 DLC Meeting
USER INFORMATION
( * = required field )
First Name:  *  
Last Name:  *  
Institution Address:   *  
City:   *  
State Abbreviation:   *  
Zip Code:   *  
Country:
Email:  *  
Confirm Email:  *  
Phone:    *  
ADDITIONAL INFORMATION
Library Type:   *  
Institution:   *  
Library Name:
Depository Library Number:
Badge First Name:   *  
Badge Last Name:   *  
Emergency Contact Name/Telephone:
First Time Attendee:   *     Yes    No  
Regional:   *     Yes    No  
Speaker:   *     Yes    No  
Vendor:   *     Yes    No  
GPO Staff:   *     Yes    No  
Attendance Certificate:   *     Yes    No