Silicon Valley Chapter - October 6, 2011 Registration Form

This is the registration for the joint Silicon Valley Chapter and IT Division Program Meeting on Thursday, October 6, 2011 at Gilead, 333 Lakeside Dr., Foster City, CA and as an SLA GoToWebinar.

CLOUD COMPUTING with Philip Gust, CFO and Software Engineer, LOCKSS, Stanford University Libraries

We would appreciate registration/payment by Friday, September 30, 2011 in order to have an accurate count for catering.

Please consider making your payment through PayPal.

If paying by check, the registration fee is payable to Silicon Valley Chapter of SLA.

Mail your check to arrive by Monday, October 3, 2011.

Payment options for either the in person event or the webinar are at the end of the registration process.

Question Title

* Please enter your contact information. Each field must be completed.
If you do not want to enter certain information, please add an x to the line.

Minimum required is First/Last Name, and Email.

Note: If you are registering more than one person for this event, you will need to fill out a registration form for each person.

First name [required]:

Last name [required]:

Affiliation [required] (if no affiliation use N/A):

Address [required]:

City [required]:

State [required]:

Zip [required]:

Phone [required] (area code and number):

E-mail [required]: