Preregistration Form - Texas Library Association

Preregistration Form
Preregistration postmark deadline is
APRIL 3, 2015
Please read carefully. If you have any special needs that may impact your participation in annual conference activities, please contact the TLA office at 800/580-2852. Please fill out the session preference form to help TLA staff plan for the most efficient use of the facility;
you will not be committed to attend those session choices.
√ Preregistration postmark deadline is
April 3, 2015.
√ One form per person. Choose only one
preregistration fee.
√ PURCHASE ORDERS ARE NOT
ACCEPTED. Payment must accompany
preregistration.
√ Individual TLA member dues for 2015 must
be paid prior to or with this preregistration
to receive discounted TLA member rates. If
applicable, the status of your membership
year is noted on the mailing label on the
back of this program.
√ If applicable, please fill in your TLA member
number on the preregistration form.
√ No registration confirmations will be given
without a self-addressed stamped envelope
provided.
√ No preconference or event tickets will be
sold by TLA onsite. All tickets must be
purchased by April 3, excluding the
Intergalactic Dance Club Party.
√ Name badges are required for all programs,
events, exhibits, and shuttle buses.
√ For TLA members, the city and state that
appear on your name badge reflects your
business address, if available.
√ Calculate preregistration, preconference,
ticketed events, and (if applicable)
membership fees on the lines indicated on
the reverse of this form.
Check here if you prefer NOT to receive emails from exhibitors with news and information about conference booth events, drawings, giveaways, news, etc.).
√ Refund requests must be in writing and
postmarked no later than April 3, 2015.
Refunds will be mailed in June, with a $40
processing fee deducted.
Preregistration
e
d is co u n ts ar
line
available for on
registration only.
www.txla.org
√ Exhibits-only passes are sold through online
registration as well as onsite.
√ Exhibits-only PLUS passes are sold through
online registration as well as onsite.
TLA Membership #____________________________________________ Nickname (if any) for badge _______________________________________________________________
Library Type Affiliation:
___ Academic
___ Public
___ School
___ Special
___ Does not apply
NAME: last ________________________________________________________________________________ first _______________________________________________________
Address: street _______________________________________________________________________________________________________________________________________
city________________________________________________________________ state
_____________________________________
zip__________________________________
Institution:__________________________________________________________ Email:_________________________________________________________________________
used to facilitate conference-related communications and is essential for mobile app login
phone: home ____________________________________________ business____________________________________________
1
cell_________________________________
PREREGISTRATION FEES
Choose only one preregistration fee.
TIP for non-members. Before registering, see how much a
membership in TLA would lower your registration fee.
Indicate your preregistration choices by marking an “X” in the boxes next to the appropriate
alpha codes on this preregistration form.
NON-Member (NM) Rates
Registration codes A-J entitle registrants to
attend meetings, programs, and the exhibit
hall on all days of the conference.
$415
E
2015 General Member $200
Library School Student** $150
F
NM Library Employee $275
P
NM Trustee/Lay/Retired $235
Q
Preconferences, author sessions and special
events listed on the back of this form require a
ticket purchase.
2015 TLA Member Rates
Library Employee
Trustee/Lay/Advocate
One Day Only: WEDNESDAY
$150
G
International Attendee $170
H
One Day Only: THURSDAY
I
2015 General Member $200
R
NM Library Employee $275
S
NM Trustee/Lay/Retired $235
T
School Administrator $160
Family/Spouse
$105J
One Day Only: tuESDAY
General Member
$270
A
Retired Member $105
B
reduced hours; NO exhibits
Library School Student* $105
C
2015 General Member $140
L
NM Library Employee $215
M
NM Trustee/Lay/Retired $185
N
Trustee/Lay/Advocate $105 D
* must be current STUDENT member of TLA
O
One Day Only: FRIDAY reduced hours
2015 General Member $170
U
NM Library Employee $245
V
NM Trustee/Lay/Retired $200
W
**email proof of student status to [email protected]
2015 Annual Conference Edition: SYNC UP!
73
2
PRECONFERENCES • TUESDAY, APRIL 14
Makin’ Music: Programming
with DIY Instruments 9 am-12 pm
Navigating the Open Access Sea Taking the Capitol by Storm: Libraries,
Legislation, and Leadership 9 am-5 pm
Member $75 ACA
Non-member$100
ACB
Member $60AGA
Non-member$85 AGB
Storytelling 101 and Then Some! You Have Your Degree, Now What?
Planning a Rewarding Career 9:30 am-12:50 pm
9 am-12 pm
Member $35ADA
Non-member$60 ADB
Resources for the Library Provided by
the Texas General Land Office 9
Member/NonFREE
am-4 pm
9 am-5 pm
AK
Digital Storytelling: Sync
Technology with Literacy 1-4 pm
Member $30 ALA
Non-member$55 ALB
Member $50 AFA
Non-member$75 AFB
3
Diversity Summit: Integrating Diversity at Personal,
1-5 pm
Organizational, & Professional Levels Member/NonFREE
Member $40 AEA
Non-member$65 AEA
Research Projects: Idea to Publication AH
1-5 pm
Member $45AMA
Non-member$70 AMB
Reframing Information Literacy 1-5 pm
Member $50ANA
Non-member$75 ANB
Speed Dating the Texas Bluebonnet
Award List Books
4-6 pm
Member $25 AOA
Non-member$50 AOB
These additional preconferences are offered
through ONLINE REGISTRATION ONLY.
Mock CaldeNOTT Masterclass
Member $45; Non-member $70
Tech Camp: Conference within a Conference
Member $65; Non-member $90
TICKETED EVENTS (ALPHA Codes AJ – ED)
Conference registration fees NOT required; multiple tickets allowed.
Tuesday, April 14
BLACK CAUCUS RT Author Session
Friday, April 17
EXHIBITORS ROUND TABLE Golf OUTING
$37CBQty____________
CLOSING AUTHOR SESSION: Pinkney
Director’s Symposium
$43CFQty____________
$125AJQty____________
Wednesday, April 15
OPENING AUTHOR SESSION
$43CAQty____________
PRIVATE SCHOOL LIBRARIANS CHILL OUT
FREEDDQty____________
TEXAS TEA with YA AUTHORS
$30DEQty____________
Thursday, April 16
$33DFQty____________
Let’s Get Surreal! CRT Author Session
EVENING WITH THE AUTHORS
$33CEQty____________
$85DG Qty____________
TLA FITNESS TRILOGY, Volumes i-iii
Beef _____
Fish _____
Vegetarian _____
INTERGALACTIC DANCE CLUB PARTY
$20DHQty____________
LARIAT ADULT FICTION AUTHOR SESSION
$43CCQty____________
ALUMNI RECEPTIONS & DINNERS
UNT$10EA Qty
___________
Texas Bluebonnet Award AUTHOR SESSION
TWU$20 EB Qty
___________
$43CDQty____________
UH-CL$26 EC
Qty
___________
UT-Austin freeED
Qty
___________
Offered through ONLINE REGISTRATION ONLY
Thursday, April 16
Sam Houston State Univ. Alumni Dinner
$35
___ Vegan
___ Lactose-free
___ Diabetic
BRING YOUR OWN BIKE
$35DAA Qty__________
BIKE RENTAL INCLUDED
$60DAB Qty__________
One T-shirt per ticket; indicate size and quantity.
M _____ XL _____ XXL _____ XXXL _____
Barton Springs Swim • Wednesday, April 15
$25DBQty__________
One T-shirt per ticket; indicate size and quantity.
Indicate if you require a special meal:
___ Vegetarian
Cycling for Libraries • Tuesday, April 14
___ Gluten-free
M _____ XL _____ XXL _____ XXXL _____
Hetherington FUN RUN • Thursday, April 16
___ Other (explain) _________________________
__________________________________________
$25DC Qty__________
One T-shirt per ticket; indicate size and quantity.
M _____ XL _____ XXL _____ XXXL _____
When you preregister for conference online, you will also receive discounted rates.
No purchase orders accepted; preregistration form must be postmarked by APRIL 3.
Preregistration.............................................. $______________________
Preconferences............................................. $ ______________________
Mail this form with check payable to TLA
3355 Bee Cave Road, Suite 401, Austin, TX 78746-6763
For CREDIT CARD payment, provide the following information:
Ticketed events............................................. $ ______________________
Card:
2015 Membership........................................ $ ______________________
(include membership form)
No. ___________________________________________
TOTAL DUE ................................................... $______________________
CVV (sec. code)_________________ Exp. date: Mo.__________ Year__________
For office
use only: date received
MC
AMEX
DISC
Signature ___________________________________________________
Check #________________________ Amt._________________________
74
VISA
Check #________________________ Amt._________________________
Texas Library Journal • Winter 2014