Cost:

	$30.00 Library School Students
	$35.00 LACASIS members
	$45.00 Non-members

Would you like to underwrite student attendees? If yes, please specify amount:

Student Support Amount:

ASIS&T Member? yes no

Member Number:

First LACASIS event? yes no

Total amount due:

Make checks payable to "LACASIS"

Please send payment check by Wednesday, June 8, 2005, to:
Belinda Beardt
440 E. Cypress Avenue, #202
Burbank, Ca 91501


All payments must be received by the registration date indicated. Full refunds will be given for any cancellations prior to that date. LACASIS reserves the right to invoice registered individuals who do not cancel within the specified time period. If you have registration questions, please contact Belinda Beardt at lacasis@gmail.com or 213-289-9800.

Please submit one form per person attending.