MLA Midwest Chapter 2022 Annual Meeting Registration

MLA Midwest Chapter Meeting Registration

81st Annual Meeting, Bloomington, IN, October 27-29, 2022
Full Name*

First NameLast Name
Name to appear on tag, please include preferred pronoun/s
E-mail*
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Institutional Affiliation (if applicable)
Job Title/Role
First time attendee?

YesNo
Dietary requirements (vegan, vegetarian, allergies, gluten sensitivity, etc.)
I plan to attend the following tour(s):

Archives of Traditional Music (Thursday, 10/27, 3:15-4:15), limited to 30 participantsWilliam and Gayle Cook Music Library/Latin American Music Center Collection (Thursday, 10/27, 4:30-5:30), no limit on number of participants
Registration - late registration applies after September 30, 2022*

Regular - $75Student or Retiree - $50Single day (all registrants) - $40Late regular - $85Late student or Retiree - $60Late single day - $50Virtual - $10
Contribution to Phyllis J. Schoonover Scholarship for Student Members - please enter amount
Contribution to Leslie Troutman Scholarship for staff and paraprofessionals - please enter amount
Unrestricted contributions - please enter amount
Click here to select payment option

Pay by check - print out form and mail to address belowPay via PayPal - a PayPal invoice will be delivered via email
Please make checks out to MLA Midwest Chapter Assoc. and mail to:

Anne Shelley

Milner Library

Illinois State University

201 N. School St.

Normal, IL 61761
If paying by check, please print the form BEFORE submitting.
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MLA Midwest Chapter Meeting Registration