Registration

Bridging the Gap:
Resolving Age and Rage

9th Bay Area Workshop for
Library Paraprofessionals
and Support Staff

Registration Form:
*Denotes required field.

*Full Name:

Library:

*Street Address:

*City, State, Zip:

Phone:

*Email:

Confirmations will be sent by email only.

Site/Date preference:

San Jose (March 21)

San Francisco (March 22)

Half day or Full day:

Half day: $30 General, $25 COLT members

Full day: $50 General, $45 COLT members

Time preference (for half-day registrants):

Morning (registration 8:30-9, workshop 9-12)

Afternoon (registration 1 - 1:30, workshop 1:30 - 4:30)

Session preference (for half-day registrants):

Difficult patrons (Albrecht)

Generations (Harding)

Do you plan to participate in the tour of the host library?

Yes

Method of Payment:

Check made payable to PLS*See note below

Please invoice my library and reserve a space for me.

Mastercard **See note below

VISA **See note below

*Paying by Check:
Please fill out this online form, 1) print it and 2) mail it and a check made out to Peninsula Library System to Kathy Krause at

Peninsula Library System
2471 Flores Street
San Mateo, CA 94403-2273

Then 3) click on the "Click here to continue" button after you've printed the page.

**Paying with Credit Card:
Please fill out this online form, 1) print it, 2) write your card number and expiration date on it, and 3) fax it to Kevin Terada at the Peninsula Library System at 650.349.5089. Then 4) click on the "Click here to continue" button after you've printed the page.

Write your credit number and expiration date here:

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