Workshop Registration Form

All registration forms and payments must be received by the registration deadline. Please refer to the Workshop Details for the deadline information.

Please select the classes you plan to attend in the HRVH Workshop Series:

It is very important that you include your email address and telephone number. Your confirmation will be emailed to you.

Please refer to the Workshop Details before completing the information below:

First Name:
(Required)

Last Name:
(Required)

Institution:
(Required)

Institution Name:
(If not listed)

Work Phone:
(Required)

Home Phone:
(Required)

Home or mobile phone # in case we need to contact
you outside of normal work hours.

Email:
(Required)

We respect your privacy and we will not give your email
address to anyone.

Notes:

to complete registrations

Forms may also be mailed or faxed to:
Continuing Education
Southeastern New York Library Resources Council
21 S Elting Corners Rd.
Highland, NY 12528-2805
FAX: (845)883-9483