ILLINOIS COOPERATIVE COLLECTION MANAGEMENT PROGRAM

ICCMP MEMBERSHIP MEETING - MARCH 1, 2005

DUE: FEBRUARY 25, 2005

Please register by February 25, 2005 for this meeting. If you would prefer to register by fax, please print this registration form and send to (815) 753-9395.

ICCMP Membership Meeting

March 1, 2005 at the Historic Lincoln Hotel; Urbana, Illinois

REGISTRATION FORM

Name:
TITLE:
INSTITUTION:
ADDRESS:
E-mail:

Lunch will be provided. Do you have a dietary restriction? Please indicate: