SRFIDC 2020 Annual Conference & Membership Registration
Submit your registration information here.
SRFIDC 2020 Annual Conference Fees
Individual = $175.00
Institutional: (includes 2 representatives) = $250.00
Each additional representative = $125.00 each
NOTE: Membership in the professional organization (Conference registration) does NOT include accommodations. Please be sure to make your own lodging reservations directly; see the hotel information on the Conference Information page of the SRFIDC web site.
Make membership dues/conference registration checks payable to SRFIDC. Be aware that dues and pre-paid conference registration are not refundable. After filling out this registration form please mail your payment to:
Distance Education & Technology Integration
375 Library Technology Center
University of North Georgia
82 College Circle
Dahlonega, GA 30597
Tax Identification Number: TIN #51-0318435
NOTE: Before you press the "Submit" button, print a copy of this page and send with payment to the address above.
This registration is for
Conference and Individual Membership ($175)
Conference and Institutional Membership ($250, includes 2 registrations. $125 additional)
Additional individual registrations ($125 ea)
Enclose check with printed form including information.
Your name, if joining as an individual member
Name of Institution
Name of Institutional Representative
(enter "self" if individual member)
Name of Center or Faculty Support Unit
Number of attendees from your institution:
Please indicate the number of people from your institution for which you are paying dues. These dues entitle your institution to participate in the SRFIDC Annual Sharing Conference.
ZIP postal code
Other Institutional Member 1
Other Institutional Member 2
Other Institutional Member 3
I have printed a copy of this registration form and enclosed it with my check payment.
Send me a copy of my responses.
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