LOAC Conference Registration Form

Affiliation_________________________________________________________

Street Address_______________________________________________________

City_____________________________State/Prov.______ Zip/P.C.__________

Daytime phone (______)_______________________________________

Email ______________________________________________________

Workshop selections: Choose one for each time frame.

Friday	Workshop I	11:15 a.m.	___Session A	___Session B
	Workshop II	2:00 p.m.	___Session C	___Session D
	Workshop III	3:30 p.m.	___Session E	___Session F
Saturday	Workshop IV	9:00 a.m.	___Session G	___Session H

___ I will attend ($25 registration fee)

___ I will not attend. Please keep my name on the mailing list so that
I will continue to receive information from LOAC ($4 membership fee)

...............................................................Total registration/membership fee___________

___ I need lodging. Please secure a Thompson room for me.

Room type: (Check one) ___A ___B ___C ___D

___Single ___Double Rate per night______________

___Thursday ___Friday ...............................................Total room cost_______________

If double, roommate name _____________________________________

Annual dinner ($12), number of tickets _______ ......................... Total for dinner_____________

Total enclosed:______________________

___I need special accommodation of ___________________________________

Please make checks payable to Lake Ontario Archives Conference

Mail this form with registration and room reservation payment to:

Deadline for reservations is Thursday, June 10, 1999.

No refunds after June 10, 1999. Paid reservations may be transferred.