Last Name

First Name

Affiliation:

E-mail:

Mailing Address

City

State/Province

Zip/Postal Code

Country

Telephone #

Fax #

Registration Fee

$50.00

Please send registration checks to:

Sherrie Kristin
Library
Purdue University Calumet
P.O. Box 2590
Hammond, IN 46323-2590

For credit card payments call, once you have filled out an online form:

Sherrie Kristin
Library
Purdue University Calumet
219-989-3243
Monday - Friday 7:30am-4:30pm

Registration will not be confirmed until check is received.