Please submit a separate registration form for each individual within a group.

Your OCLC symbol (if applicable):

Please type your name and address below.

Name

Institution

Street or P.O. Box

City/State/Zip Code

Email

Home Phone

Depending on Program Fees, please choose one:

Deduct from our WiLS deposit account
Pay online by charge card (follow credit card instructions on registration confirmation)
Mail check payable to WiLS by date of event (see mailing instructions on confirmation)
 
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If you have questions, special needs or registration questions, please phone 608.263.5051.

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