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"I have registered my entire staff to attend the Amigos annual conference. Everyone is thrilled that it is online. Since we can attend as a group it will provide an excellent meeting experience for the staff. Thank you."
Kathy Hoffman, Executive Director, Research Medical Library, University of Texas M. D. Anderson Cancer Center

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Self-Paced Registration Form

Learning @ Amigos.Org logo
Registration form for Learning @ Amigos.Org self-paced, online courses.

Registrant Information

Registrant Name: *

(first and last name)

Position Title: *

Email Address: *

Institution Information

Institution Name: *

OCLC Symbol:

Network Affiliation: *

Choose your organization's network affiliation.

Address 1: *

Address 2:

City: *

State: *

(e.g., AR, AZ, NM, OK, TX)

Zip Code: *

Phone Number: *

(999)999-9999

Fax Number:

(999)999-9999

Courses Available

For Individuals:

For Institutions:

Payment Method:

Deduct fee from Amigos Deposit Account (members only)

Bill Institution

Pre-pay by check

Credit Card (Visa or MasterCard)

For security purposes, Amigos does not currently accept credit card numbers on this form. Please fax us your account information, including type (Visa or MC), expiration date, and signature. Access to the course will be provided after payment is received.

Please send checks to:
Amigos Training Registration
14400 Midway Road
Dallas, TX 75244-3509

Please be sure you have authority from your institution to purchase Amigos training via this Internet form.

How did you hear about Amigos' training?:

Amigos' Web site

Training Newsletter

Amigos-Now

Electronic Discussion List

Colleague

Other

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