38th Allerton Institute, October 27-29, 1996

Registration Form

Print this form and return to the address below.


                     LIBRARIES, PEOPLE, AND CHANGE:
                  A RESEARCH FORUM ON DIGITAL LIBRARIES

                    Thirty-Eighth Allerton Institute
                   Allerton Park and Conference Center
                          Monticello, Illinois
                           October 27-29, 1996


                                                                         
                                                                 
________________________________________________________________________
Last Name                       First Name                Middle Initial

Title/Position: ________________________________________________________

Institution: ___________________________________________________________

Address: _______________________________________________________________

________________________________________________________________________
City                           State          Zip                Country

Business Phone: ________________________  FAX: _________________________ 

E-mail address: ________________________________________________________

Homepage address: ______________________________________________________

How I would like my name to appear on conference name tag:

      __________________________________________________________________

Will you be staying at Allerton Park on Sunday, October 27 and Monday,
October 28? (included in registration fee)  
      _____ Yes    
      _____ No.  I am making my own arrangements for lodging elsewhere. 
            I understand I'm responsible for these expenses and that there
            is no reduction of registration fee for offsite lodging.

For purposes of room assignment at Allerton, please indicate gender:
      F___   M___

If you would like to share accommodations with a particular individual(s),
please specify:

________________________________________________________________________

Any special dietary/lodging needs: _____________________________________

When are you planning to leave the conference: _________________________ 

Registration Fee:  $120 
Registration form and payment must be received by SEPTEMBER 30, 1996.

Method of Payment:  (We can not accept purchase orders.)

      _____ Check enclosed (make payable to University of Illinois)

      _____ Charge to credit card:  
            ____Visa          ____Mastercard
            ____Discover      ____American Express

      Credit card number; ______________________________________________

      Expiration date: _________________________________________________

      Signature: _______________________________________________________


Arrival/transportation:

_____ I will be arriving on Saturday, October 26.  I would like the
      conference staff to make arrangements with Corky's A-1 Limousine
      Service for transportation from my Champaign-Urbana hotel to
      Allerton Park on Sunday, October 27.  I understand that I am
      responsible for payment directly to Corky's at the time of service. 

            I am staying at ____________________________________________
                                  (hotel)
      [Pickup will probably be between 11 a.m. and noon.]

_____ I will be arriving on Saturday, October 26.  I will make my own
      transportation arrangements to Allerton Park on Sunday.


Sunday, October 27, Transportation from Champaign-Urbana to Allerton Park:

_____ I will be arriving on Sunday, October 27, and would like the
      conference staff to arrange transportation from the airport to
      Allerton Park through Corky's A-1 Limousine Service.  I understand
      that I am responsible for payment directly to Corky's at the time of
      service.

            Arrival time & flight # on Sunday: _________________________

_____ I will be arriving on Sunday, October 27.  I will make my own
      transportation arrangements to Allerton Park.


To register...

by phone (payment by credit card): 217-244-3274 or 800-982-0914
	(ask for Kathy Painter)

by FAX (payment by credit card): 217-244-3302

by email (payment by credit card): send to  painter@alexia.lis.uiuc.edu
       [E-mail transmissions are not always secure and there is some
        risk in sending credit card information through this medium.]

by mail (payment by check or credit card), send to: 
       Allerton Institute 1996
       Graduate School of Library and Information Science
       University of Illinois at Urbana-Champaign
       501 E. Daniel Street
       Champaign IL 61820-6211     

Allerton 1996 Index