koha-US 2019 Conference Registration Form
September 18-19 (Conference), September 20-21 (Workshop)

Pueblo City/County Library District Rawlings (Main) Branch
100 E. Abriendo Ave., Pueblo, CO 81004

$35.00 (koha-US member)
$47.50 (non-member, joining koha-US at this time)
$55.00 (non-member)

Email address *
First Name *
Your answer
Last Name *
Your answer
Nickname (for badge)
Your answer
Organization *
Your answer
City *
Your answer
State/Province/Country *
Your answer
Phone number
Your answer
Directory of attendees *
I'd like my name and contact information to appear in this directory (to be distributed to attendees at the conference)
What days are you planning to attend? *
koha-US hopes to estimate the number of attendees for each day of the event. Please complete to the extent of your knowledge at this time and select multiple boxes as appropriate.
Required
Are you a member of koha-US? *
Response will be compared to the official membership roster at the time of registration submission. After review, Treasurer will contact you with additional information, as necessary.
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