|
Registration Form |
|
|
Name
|
:
|
(Dr / Prof /
Mr / Mrs/ Ms) |
|
|
Organization/Institution
|
:
|
|
|
|
Job Title
|
:
|
|
|
|
Mailing Address
|
:
|
|
|
|
City
|
:
|
|
|
|
Country
|
:
|
|
|
|
Post/Zip
Code
|
:
|
|
Phone
:
|
|
|
|
Fax
|
:
|
|
Email :
|
|
|
|
|
|
PIALA
member?
|
|
Yes: |
|
No:
|
|
|
| |
|
|
|
| |
|
|
|
|
Arrival
Date and Time
|
:
|
|
Departure:
|
|
|
|
Hotel:
|
|
|
|
|
|
|
|
|
1. Conference Registration Fees |
|
| |
Postmarked
on or before October 15, 2002: $35.00 each plus one Children's
Book
|
|
$
|
| |
Postmarked
after October 15, 2002: $40.00 each plus one Children's Book
|
|
$
|
|
|
2. Pre-Conference
Fees: $ 40.00
Cataloging
Pacific Materials and Copyloging
|
|
$
|
|
|
3.
Post Conference Fee: $40.00
The
Internet as a Research Tool
|
$
|
|
| |
|
|
4. PIALA
Annual Dues: $ 20.00 Individual or $ 50.00 Institutional
|
|
$
|
|
|
Total
Amount Enclosed
|
|
$
|
|
|
|
|
Make checks payable to PIALA 2002-Chuuk. Please print a copy
of this form and mail to
PIALA 2002
c/o Lynn Sipenuk
P.O. Box 91
Weno, Chuuk, FM 96942
*ALL PARTICIPANTS ARE RESPONSIBLE FOR THEIR OWN RESERVATIONS
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
