Registration
UP
‹
›
×
Registration costs for this conference will be $95. Registration costs after May 26, 2017 will be $125.
Please complete one registration form for each attendee.
(
*
Indicates Required Field)
If you have any questions regarding registration, email
info@glrsc.org
.
First Name:
*
Last Name:
*
Primary Job Role:
*
Select a Primary Job Role
Interlibrary Loan Staff
Interlibrary Loan Manager
Access Services/Circulation
Administration
Collection Management
Other
If 'Other', describe job role:
Institution Name:
*
Institution Type:
*
Select an Institution Type
4-year Academic
2-year Academic
Government
Public
School
Consortium
Other
Institution Address:
*
Institution City:
*
Institution State/Province:
*
Select a State/Province
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
--------
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Nova Scotia
Ontario
Prince Edward Island
Quebec
Saskatchewan
Northwest Territories
Nunavut
Yukon
Institution Zip/Postal Code:
*
Country:
*
Canada
United States
Email:
*
Phone:
*
Are you willing to allow your information to be shared with the sponsors?
No
Yes
Are you willing to allow your information to be shared with other attendees?
No
Yes
Please indicate your dietary needs:
(Vegan, vegetarian, and/or allergies, etc.)
Do you have physical or communication needs that may affect your participation in this conference?
No
If yes, add accommodation:
Are you a presenter?
No
Yes
If you have a Sponsor Code, please enter it here:
Will you be attending the opening reception on Thursday evening? (free with registration)
*
Please select an option
Yes
No
Maybe
I am willing to serve as a volunteer onsite.
*
Please select an option
Yes
No