Northern New York Library Network
Workshop Registration Form
(Please fill out a separate registration form for each workshop you would like to attend.)
Name:_________________________________________________________
Institution:______________________________________________________
Address:_______________________________________________________
Telephone:______________________________________________________
E-Mail:_________________________________________________________
Name of Workshop:_______________________________________________
Date of Workshop:________________________________________________
Cost:___________________________________________________________
If lunch is part of the workshop you are attending and you are a vegetarian,
please check here ___.
Confirmation Policy
The Network does not routinely send confirmation or receipts. Receipts will be
available at the workshop.
Cancellation Policy
Registrations may be canceled at any time. Refunds will be made only if the cancellation is received at least
48 hours before the workshop. In the event that the Network cancels a workshop, all prepaid
registrations will be refunded.
Questions may be directed to the NNY Library Network locally by calling 315-265-1119, or
toll-free at 1-877-833-1674, or emailing cont-
ed@northnet.org
Please return this form to: NNY Library Network, US HWY 11, Potsdam, NY 13676; or
fax to: 315-265-1881.
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