Who Are Our Students?
Name: _______________________________________________
Title: _________________________________________________
Affiliation: ____________________________________________
Address: ___________________________________________
_______________________________________Zip ____________
Phone: _________________________ Email: ____________________________
Conference registration fees (includes lunch):
Print out and mail this registration form with a check made payable to ENY/ACRL by Monday, April 25, 2005 to:
Questions? Contact Steve Black at blacks@strose.edu or (518) 458-5494.