5th Annual SNRG Conference Registration

*First Name:
*Last Name:
*Email Address:
*Address Line 1:
Address Line 2:
*City:
*State / Province:
*Zip / Postal Code:
*Country: CA    US   
*Phone:  Numbers only
*Library:
*Library Type: academic    consortium    government    K12    public    special    vendor   
 
*Registration: conference - $125 (includes dinner)    daily
If Daily: Monday - $40    Tuesday - $40    Wednesday - $20   
  Conference Dinner ($25)Yes  No   NOTE: Monday's daily rate does not include the conference dinner
 
*Lodging: Dorm - Single - $36.00    Dorm - Double - $30.00    None - Hotel - $0.00    Hotel Code:SNRG Library Conference
Lodging Nights if daily: Sunday Monday Tuesday
Roommate Request:
Suitemate Request:
 
Guest? Yes    Guest: Dinner ($25) 
  Guest: Monday Meals ($30)     Guest: Tuesday Meals ($30)     Guest: Wednesday Meals ($20) 
Guest Name:
Guest Lodging: Dorm - Single - $36.00    Dorm - Double - $30.00    None - Hotel - $0.00   
  If you and guest are sharing a Dorm - Double, please be sure to include Guest's name in Roommate Request field above.
  It is assumed that guests listed will be staying the same # of nights as attendee.
 
Presenter Code:  Note: The Presenter's discount is only available for full conference registrations.
    * - Required Field