MEMORIA, VOZ, Y PATRIMONIO:

The First Conference on Latino/Hispanic Film, Print and Sound Archives

The Sixth Institute of the Trejo Foster Foundation for Hispanic Library Education

August 15-17, 2003; University of California, Los Angeles http://www.gseis.ucla.edu/LAConf/

Print this form and mail to: Latino Archives Conference Registration, UCLA Dept. of Information Studies, 210 GSE&IS Building, Box 951520, Los Angeles, CA 90095-1520, or fax to: 310-206-4460

REGISTRATION FORM (SAA members)

Name: ______________________________________
Organization: ______________________________________
Address: ______________________________________
City:______________________________________State:___________Zip:___________
Phone ______________________  Email ___________

Fees (please circle appropriate categories):

Registration Type

Advanced

(by July 11th)

Onsite

Full conference, including Friday night reception and Film Screening

  • Check

    if attending Teaching with Primary Resources Workshop

  • Check if attending

    Tour of UCLA campus archives, exhibits and museums

$100

(savings of $20)

$130

Student (please submit copy of student ID), including Friday night reception and Film Screening

$60

$70

Arnulfo D. Trejo Tribute (Saturday, 8/16 evening)

$30

$30

Pre-conference Workshop (Friday, 8/15)

$50

$50

Sub-Total

   

Conference donation (please state amount)

   

SAA member #: __________________________________Total

    

Payment method:
 ________ Check payable to UC Regents (Preferred method of payment)
Credit card:   __ VISA       __ MasterCard
Card # ________________________________________ Expiration date: __________
Cardholder name:  _______________________________
Signature: ______________________________________

Cancellation policy
Registration may be canceled through July 11, 2003 with a refund of the fee minus a 20% administrative fee. No refunds are available after that date, but you may send a substitute.