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
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 |
$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.