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American Society for Information Science & Technology
Digital Archives for Science & Engineering Resources
Daser 2 Summit    
l     29 April - 1 May 2005     l   College Park, MD, USA

Registration Form

Registration Deadlines:        Early Bird: 1 April 2005      Advance Registration: 22 April 2005

Fax or Mail to:

 

American Society for Information Science & Technology
1320 Fenwick Lane, Suite 510, Silver Spring, Maryland 20910, USA
Fax: 301-495-0810  Tel. 301-495-0900

 Note: Items in RED are required

Title:  Mr. Ms.  

 

Last/Family Name:

First Name:


ASIS&T Member #:

 


Organization:


Address:


City:


State/Province:


Zip+4/Postal Code:
/


Country:


Telephone:


Fax:


E-Mail:

Please send my registration confirmation to: postal address; email address  

Badge Information. Please provide below the information as it should appear on your name badge.

Your Name:

Location:

Organization Name:


Conference Registration Fees (choose one) Fees include Friday dinner & Saturday luncheon

 

Early Bird
 (until 1 April)

Regular
 (until 22 April)

Onsite
 

ASIS&T Member

  $170

  $220

  $275

Non-Member

  $220

  $275

  $340

Student/Retiree

   $ 80

  $100

  $125

 

Save Money! Join ASIS&T & register at the member rate: http://www.asis.org/Join/index.html

 

        I will require Americans with Disabilities Act special assistance onsite.  Please give details below.
        I will require special dietary assistance.   Please give details below.
      Comments:

Method of Payment

Payment Type:

Card Number:

Expires:

Signature: ___________________________________________
                             (only required if faxing or mailing)

Check enclosed (make payable to ASIS&T, in U.S. Dollars drawn on a U.S. bank, and mail to the address above.)

Cancellation Fees: $50.00 by 1 April; $100 by 22 April; no cancellations after 22 April 2005.
Cancellation requests must be received in writing by the dates listed above. Please fax your cancellation request to 1-301-495-0810 (ASIS&T Headquarters), or mail to the address listed above.


American Society for Information Science and Technology
1320 Fenwick Lane, Suite 510, Silver Spring, Maryland 20910, USA
Tel. 301-495-0900, Fax: 301-495-0810 | E-mail:
asis@asis.org

ASIS&T Home Page

Copyright © 2005, American Society for Information Science and Technology