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FIRST NAME
LAST NAME
ORGANIZATION
EMAIL ADDRESS
MEMBER STATUSPRONOUNSOPTIONAL DONATION TO MLA
(Indicate amount)		WHICH DAYS ATTENDINGTOP 3 BREAKOUT SESSION INTERESTSUN TRIVIA (free; cash bar)MON PRESIDENT'S RECEPTION (free; 1 hour beer/wine/seltzers)MON comedy show ($20 adva; cash bar)DIET RESTRICTIONSACCESSIBILITY NEEDS IF ANYAGREE THAT REGISTRATION IS NON-REFUNDABLE EVEN IF NOT CANCELLED OR NO SHOWPLEDGE THAT YOU'LL HELP US MAKE THE CONFERENCE A SUSTAINABLE ONEDO YOU OPT IN TO RECEIVE EMAILS?DO YOU REQUIRE A CERTIFICATE OF ATTENDANCE?TOTAL DUE Refer to rate schedule at masslib.org/registration.htmlNOTE | OTHER
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JoeySmithAmazing Library
Email Address
Member she/her/hers Tuesday YesYesYesVegetarianyesyesyesyes
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