LAMP Registration

July 8 - 12, 2009
Graduate School of Library Information Science
Crown Library 300
7900 West Division Street
River Forest, IL 60305

Phone: (708) 524-6845 
Fax: (708) 524-6657

email: lamp_admin@lis.illinois.edu

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*Required
**Overnight accommodations cost an additional $37 for LAMP attendees.  This fee does not apply to LAMP scholars or speakers.

First Name : *
Last Name : *
Street Address :
City :*
State :	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip :*
Email : *
Phone :
Are you a LAMP Scholar?*	Yes No
Are you a LAMP Speaker?*	Yes No
Will you require overnight accommodations?* (check all that apply)*	July 8 July 9 July 10 July 11 None Required
What is your gender?*	Male Female
Meals - please indicate any dietary restrictions :	Vegan Kosher Gluten-Free Other
Questions or Comments :
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