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Application to Attend a National Library Conference

Application to Attend a National Library Conference

Name:
E-mail Address:
Select Your Library:
Address:
Phone:

Check one:

Library Director Library Trustee Other
if other:

Title of Conference:

Date(s) of Activity (m/d/yyyy): Begin date end date

Location of Activity:

Are you a member of the sponsoring organization?
I am a personal member
My library is an organizational member
No

Have you attended a conference sponsored by this organization before?
Yes No

Briefly describe the conference and explain why you want to attend it. Indicate some or all of the sessions you would like to attend.

List anticipated expenses:
Registration:
Mileage/Air Fare:
Lodging:
Meals/Other:
TOTAL:

I understand that I may be asked to share information from this experience with my colleagues and other system librarians and trustees.

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