Library:
Title or Position:
Mailing address:
City: State: ZIP code:
Daytime phone: FAX:
Email (required):
epixtech customer number:
Are you a CODI member? Yes No
Does your library hold a license through a consortium? Name of consortium:
Check here if you have a disability requiring special materials or services. Requests for special services must be made by February 7, 2001. Please list items needed (you will receive a follow-up call):
In case of emergency during the conference, please contact: Phone:
Early registration ended February 2
CODI Member $325 Horizon $325 Non- member $400
Wednesday only Thursday only Friday only
CODI Member $175 Horizon $175 Non-member $225
Guest tickets for Thursday Evening Banquet, $40. Number requested: Request vegetarian meals I have special dietary needs:
1. Early registration must be received by February 2, 2001. All late registrations wil be invoiced with the late fee of $100.
2. Read form carefully. No refunds of registration fees will be made until after the conference on the condition that CODI is notified in writing before February 7, 2001. A $10.00 processing fee will be deducted from all registration cancellations.
3. No refunds can be given for meals or extra banquet tickets cancelled on or after February 7, 2001. A $5.00 processing fee will be deducted for all meal cancellations.
4. In order to register as a CODI or Horizon member, the year 2000 membership dues must be paid at the time of registration.
5. No receipts will be sent for pre-registration payments: a receipt will be given to you at the conference.
Library type: Select one Public School Academic Special Consortium Other
Area of responsibility: Select one System Adminstration Reference/Public Services Administration Technical Services epixtech representative School Media Specialist Other If "other", describe here:
Is this your first CODI conference?: No Yes
VISA MasterCard Your name as it appears on credit card: Credit card number: Expiration date: