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
To print a copy, click here
(Society of American Archivists members, click here
)
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
Name:_________________________________________________
Organization:_______________________________________________________________________
Address: __________________________________________________________________________
City:_____________________________________State:_________________
Zip:________________
Phone:_____________________ Email:__________________________________________________
Fees (please circle appropriate categories):
|
Registration Type |
Onsite |
|
Full conference, including
Friday night reception and Film Screening
REFORMA members*
$10 off
|
$130 |
|
Student (please submit copy of
student ID), including Friday night reception
and Film Screening
|
$70 |
|
Arnulfo D. Trejo Fundraising Tribute,
8/16 evening |
$30 |
|
Pre-conference Workshop (Friday,
8/15) |
$50 |
|
Friday only
|
$30 |
|
Saturday
Only (not including Trejo Tribute)
|
$50 |
|
Sunday Only
|
$50 |
|
Total |
|
* Please indicate REFORMA chapter
affiliation:_________________
City/
State
Payment method:
___ Check payable to UC Regents (Preferred method of payment)
Credit card: __ VISA __ MasterCard
Card Number______________________
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. |