ARLIS/Mountain West Chapter Annual Conference
October 25-27, 2002

Cody, Wyoming


CONFERENCE FEES AND REGISTRATION FORM

In order to qualify for the pre-registration fee, registration form must be postmarked by October 1, 2002!

To register for the conference, please print this page, fill out information, and mail it with check or money order payable to ARLIS/Mountain West to:

Peggy Keeran , Art & Humanities Reference Librarian,
Penrose Library, 2150 E. Evans Ave.
University of Denver, Denver, CO 80208
Phone:  303-871-3410/ Fax:  303-871-3446/ e-mail: pkeeran@du.edu


Pre-Registration
On-Site
Total
ARLIS/MW Member $60.00 $75.00 $_______ 
ARLIS/NA Member (outside of MW region) $60.00 $75.00 $_______
Non-Member
(Includes one-year membership to ARLIS/MW)		 $75.00 $90.00 $_______
Chapter Membership $15.00   $_______
Interested in Friday Lunch at Maxwell’s Restaurant (Dutch Treat)

 yes ___
no  ___		    
Interested in Simpson – Gallagher Gallery Reception
(Included in registration)
 yes ___
no  ___		    
Chapter Dinner – Irma Hotel (Included in registration)
 yes ___
no  ___

Winberta Yao Travel Award Donation     $_______
TOTAL ENCLOSED     $_______

Do you require a receipt for your registration fee? Yes ____ No ____

REGISTRATION FORM

Name: ________________________________________________________________

Institution: _________________________________________________________

Address:______________________________________________________________

City, State:__________________________________________________________

Zip Code:_____________________________________________________________

Telephone: ___________________________________________________________

E-mail: ______________________________________________________________