Your library's name (please include library branch name, if applicable):

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* 1. Your library's name (please include library branch name, if applicable):

How many people from your organization will be attending?

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* 2. How many people from your organization will be attending?

Who will be attending? Please list complete of each person, including yourself.

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* 3. Who will be attending? Please list complete of each person, including yourself.

Please provide an email address for contact:

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* 4. Please provide an email address for contact:

Please provide a phone number for contact:

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* 5. Please provide a phone number for contact:

Which workshop are you registering for?
(Scheduled times include a 1-hour break for lunch.)

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* 6. Which workshop are you registering for?
(Scheduled times include a 1-hour break for lunch.)

Do you have an item you like to see on the agenda?

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* 7. Do you have an item you like to see on the agenda?

Are you interested in bringing a craft or program to demonstrate? If so, please briefly describe it. (and thank you!)

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* 8. Are you interested in bringing a craft or program to demonstrate? If so, please briefly describe it. (and thank you!)

Questions/Comments/Accommodations:

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* 9. Questions/Comments/Accommodations:

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