Committee on Institutional Cooperation is twelve universities collaborating
Assessment Conference 2003
Conference Home Program Registration

Registration Form

Use the registration form below to register for the conference.

The deadline to register is Friday, May 9, 2003.

The cost of registration is $85 (U.S.) per person, payable by check to the Committee on Institutional Cooperation. If your university needs an FEIN number to issue a check, that number is: 37-6000511. UIC staff members should pay by SM voucher, and UIUC staff members should pay by Stores Service Voucher/ MJ. Payment should be received by Friday, May 23, 2003. Mail your check to:

CIC
Attn: Darlene Hutchinson
302 E. John Street
Suite 1705
Champaign, IL 61820


First Name:
(As it will appear on badge)

Last Name:
(As it will appear on badge)

Institution:
Telephone:


 (Please use format 217-242-5555)
Fax Number:


 (Please use format 217-242-5555)
E-Mail Address:
 
Will you need any special accommodations?      Yes      No
If you specified the need for special accomodations, provide details:

For further information, contact:
Tom Peters
Director, Center for Library Initiatives, Committee on Institutional Cooperation
(217) 333-8726
tpeters@cic.uiuc.edu
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Committee on Institutional Cooperation • 1819 South Neil Street, Suite D • Champaign, IL 61820-7271
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