Download Report

2015 New Jersey Library Association Conference Registration Form
Questions: 609-394-8032
 Badge and Contact Information
NAME _____________________________________________ DAYTIME PHONE _______________________________TITLE _______________________________
EMAIL _______________________________________________________________ LIBRARY/INSTITUTION _____________________________________________
Please check membership(s): NJLA
 NJLA Friends  NJ Assn. Lib. Assistants NJASL NJLTA ACRL/nj  library association outside of NJ
(Members of these
organizations may attend at the
personal member price)
Please check if you are an MLS student:  Indicate school _____________________________________________________________________________
 Registration Fees – Please check if you are a  new NJLA member and/or  new attendee
Early Bird: Register by March 30
Personal member
Non-member
Student/Retiree/Unemployed
*Preconference Monday only
$ 50
$ 75
$ 25
Registration after March 30
Personal member
Non-member
Student/Retiree/Unemployed
*Preconference Monday only
$ 75
$ 100
$ 50
* Indicate Preconference
 The Power of Friends
 ESL in Libraries : Communicating with
our Communities
 Is Your Library LGBTQI Friendly?
Collection development and beyond
 Radical Librarianship: How Ninja
Librarians are Ensuring Patrons'
Electronic Privacy
One Day Tues. or Wed.
$ 90
Tue Wed
$ 125
Tue Wed
$ 35
Tue Wed
Full Conference Tues. & Wed.
$ 145
$ 215
$ 50
One Day Tues. or Wed.
$ 115
Tue Wed
$ 150
Tue Wed
$ 60
Tue Wed
Full Conference Tues. & Wed.
$ 185
$ 255
$ 75
REGISTRATIONS POSTMARKED OR FAXED AFTER MARCH 30 AND ON-SITE WILL BE CHARGED THE REGULAR FEE
 Tickets for Luncheons - Please indicate choice
 Tuesday, April 21, 2015
Inaugural Luncheon $35
Grilled Chicken with Roasted Baby Potatoes
& Green Beans
 Vegetable Medley Pasta topped with Marinara Sauce
 Dietary Restriction (specify) ______________________
 Wednesday, April 22, 2015
Garden State Book Awards Luncheon $35
 Pan Seared Chicken Breast in a Chardonnay Sauce with
Risotto Cake, Asparagus, and Baby Carrots
 Vegetable Lasagna
 Dietary Restriction (specify) ______________________
 Payment must accompany this form. Please indicate method of payment.
 Check payable to NJLA
 Voucher
 Credit Card -  Visa MC  Amex #_____________________________________________________
Name on card_______________________________________________ Exp. Date___________________
 Wednesday, April 22, 2015
College and University Luncheon $35
 Pan Seared Chicken Breast in a Chardonnay Sauce with
Risotto Cake, Asparagus, and Baby Carrots
 Vegetable Lasagna
 Dietary Restriction (specify) ______________________
Preconference Fee $_________________________________
Conference Fee
$_________________________________
Luncheons
$_________________________________
TOTAL:
$_________________________________
Mail: NJLA Conference Pre-Registration, New Jersey Library Association, PO Box 1534, Trenton, NJ 08607 | Fax: 609-394-8032
Refunds may be issued by contacting Melissa Lena (NJLA Office – 609-394-8032, [email protected]) prior to March 30. NO REFUNDS AFTER THIS DATE.
REGISTRATION MUST BE RECEIVED BY APRIL 7, 2015 OR PLEASE REGISTER ON-SITE AT THE CONFERENCE.
NJLA is a New Jersey Department of Education Professional Development Provider.
 I will require Americans with Disabilities assistance on site
My daytime phone is: (______) ____________________