Conference
Registration Form
Registration forms with payment (by check or credit card) must be received by , in order to qualify for pre-registration rates. Checks should be made payable to SALALM and must be made out in US dollars drawn on banks with US branches.
Exhibitors do not have to register for the conference unless they plan to attend conference sessions.
Name _____________________________________________________
New Member?_______
Mailing address _____________________________________________________
_____________________________________________________________________
Daytime telephone ______________________ Fax ______________________
E-mail address ____________________________________________________
Registration fee
Pre-registration
SALALM personal* members
$75 ____________________
Non-members
$115 __________________
Students
$20 __________________
On site/late registration
$115 __________________
Credit card handling fee
$3 __________________
Optional trip
Thursday, June 1
to the Getty Center$35 __________________
Guest _____________________
$35 __________________
TOTAL _______________
*Institutional membership does not qualify an individual for the reduced personal rate unless the institution is a personally owned library or publishing house that pays institutional membership fees.
Form of payment:_______Check_______Credit Card (complete information below)
Credit Card Number ___________-__________-__________-__________
Expiration date ___________
Visa ______ Mastercard ______
Signature ___________________________________________
Mail form and payment to:
Barbara Valk
SALALM XLV
UCLA Latin American Center
10343 Bunche Hall
Los Angeles, CA 90095-1447
USA
If paying by credit card, fax to (310) 206-2634.
