Silicon Valley Chapter - January 12, 2011 Registration Form

This is the registration for the Silicon Valley Chapter Program Meeting on Wednesday, January 12, 2011 from 5:30- 8:00 pm at MacArthur Park in Palo Alto, next to the train station.

Pecha Kucha Leadership for Information Pros

Speakers: Libby Trudell, Cindy Hill, Helen Losch and others

Annual Chapter Recognition and Awards

We would appreciate registration/payment by Thursday, January 6, 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, January 10, 2011.

Payment options 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:

Last name:

Affiliation (if no affiliation use N/A):

Address:

City:

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Phone (area code and number):

E-mail: