Legislative
Research Librarians
October 15-18, 2003
Portland, Oregon
Downtown Embassy Suites
Registration Information
Name_______________________________________________________________________________
Title________________________________________________________________________________
Affiliation____________________________________________________________________________
Address_____________________________________________________________________________
City, State, Zip________________________________________________________________________
Phone (work)_________________________________________________________________________
Email ______________________________________________________________________________
Spouse or Family Member Name_________________________________________________________________
Primary focus of work:
( ) program evaluation or audit
( ) research or committee services
Special Needs:
( ) handicap accessibility
( ) vegetarian meals
( ) other (please specify)
Registration Fee: (please check one)
( ) $250 Legislative staff or Legislators
( ) $350 All others
( ) $125 Spouse or Family Member
Registration Payment Method:
( ) Payment Enclosed
( ) Will Pay On-site
( ) Voucher/Purchase Order
( ) Please charge my:
( ) Visa ( ) MC ( ) AmEx ( ) Diners Club
Number_____________________________________________________________________________
Expiration Date_______________________________________________________________________
Signature____________________________________________________________________________
Please mail or fax this form by September 22:
National Conference of State Legislatures
Attention: Seminars
P.O. Box 17972
Denver, Colorado 80217
FAX: (303) 364-7811
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