Conference Fee:	$150 on or before March 27, 2004
	$175 after March 27, 2004

Payment: Make checks payable to NCCU/SLIS

Please indicate your preference for Concurrent Sessions:

Concurrent Session One A _____ B _____ C _____ D _____ E _____

Concurrent Session Two A _____ B _____ C _____ D _____ E _____

Name _________________________________________

Affiliation _______________________________________

Street Address ___________________________________

City/State/Zip ____________________________________

Day Phone __________________ Fax _______________

E-mail __________________________________________

Conference confirmation will be e-mailed to the address above.