Registration

Workshop name goes here
Date here
Location here

*First Name:
*Last Name:
*School/Library Name:
*Address:
*City:
*State:
*Zip:
*Phone Number:
*Email Address:
*Library System:
*Do you want CPDU's for attending? Yes No
Cost of Workshop: $20
*Card Type:
*Name on Card:
*Card Number:
*Expiration Month:
*Expiration Year:
*CCV:

secure socket layer
Online Payments

Questions: Please call Caroline at 309-387-6275 or email: ccbell68@a5.com

 
 
     
 
Date Modified: 3/8/12

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Illinois School Library Media Association * PO Box 598 * Canton, Illinois 61520
Telephone: 309-649-0911 * Fax: 309-649-0916 * email: islma@islma.org
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ISLMA is not responsible for the content or availability of any Internet sites external to the ISLMA website.