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Program Title

Sponsoring Unit

[Program description, including speaker information, date, time, and location:]

Monday, September 16, 2002
9:00 a.m. - 4:00 p.m.
My Town Public Library, My Town VA

Describe your program and speaker(s)

 

 

 

[Registration information, including any mail, online or fax options. Make sure URLs are clear, phone and fax numbers include area code, and mailing addresses include include a name:]

Registration Information:
Registration fee is $20 and includes lunch. Send the form and a check payable to VLA to: [My Name, My Library, My Library's Address, My Town, VA My Zip]. Registrations must be postmarked [or received] by [Date].

Registration Information:[to include the following:]
Name
Library
Mailing Address

Phone
Fax
Email

[Include any lunch selections that need to be made.]

[Include a statement concerning special assistance, for example:]
*Individuals requiring Americans With Disabilities Act accommodations should contact: [Your Name, phone, fax, and email] to make arrangements.