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NELINET Payment Form - Websearch University 2008 Conference
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WebSearch University 2008 Conference
September 22 - 23, 2008
Washington Marriott, Washington, D.C.

Register in advance, one person per form, on-site registrations are not accepted.

Attendee Name and Title
 
OCLC Symbol
 
Attendee Institution
 
Phone
 
Attendee Address
 
E-mail
 
Fax
 
Signature of Official Representative/Authorized Person
 
Bill to OCLC Symbol
 
Bill to Institution (if different from above)
 
Bill to Address (if different from above)
 
Conference Information:
WebSearch University 2008 Conference (September 22 - 23, 2008)
$445.00 per person
(regularly $645.00)
Payment Type:
Credit Card - Enter information on WebSearch University 2008 Conference
       Registration Form

Pay by Check - Please make checks payable to: NELINET, Inc.
Debit my Deposit Account - NELINET debits your Core (C) Account for
       these charges. To apply these charges to a different account, please indicate
       the account letter. _______
FAX this form, along with the WebSearch University Registration Form to: Maria Brady (Fax: 508.460.9455).
MAIL this form w/Check, along with the WebSearch University Registration Form to: NELINET, Inc., c/o Maria Brady, 153 Cordaville Road, Suite 200, Southborough, MA 01772.

Questions or Special Requirements: Please notify Maria Brady (1.800.635.4638 x1945 or brady@nelinet.net).

July 30, 2008


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