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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