Registration Form | Going Green @ Your Library 2

First Name: *

Last Name: *

Position Title: *

Email Address: *

Institution Name: *

OCLC Symbol:

Are you an Amigos Member: *

Amigos Member

Non-member

Address 1: *

Address 2:

City: *

State: *

(e.g., AR, AZ, NM, OK, TX)

Zip Code: *

Telephone: *

(123) 456-7890

Fax:

(123) 456-7890

Access will be available for 3 months.

Entire conference for Amigos members: $120
Entire conference for non-members: $140

View conference and session descriptions. (opens in a new window/tab)

Payment Method: *

Deduct fee from Amigos Deposit Account (members only)

Bill Institution

Pre-pay by check

Credit Card (Visa or MasterCard)

For security purposes, Amigos does not currently accept credit card numbers on this form. Please fax us your account information, including type (Visa or MC), expiration date, and signature. Access to the course will be provided after payment is received.

Please send checks to:
Amigos Training Registration
14400 Midway Road
Dallas, TX 75244-3509

Please be sure you have authority from your institution to purchase Amigos training via this Internet form.

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