LSA39 Registration Form
Name: _________________________________________________________________
Institution/Company: ______________________________________________________
Mailing Address: _________________________________________________________
_______________________________________________________________________
City: _________________________ State: -___________ Zip Code: ___________
Country: -----------________________________________________________________________
Telephone: (____)______________
E-mail Address: __________________________________________________________
Registration Fees (includes lunches, banquet, reception)
Paid up members $115
Non-Members $125
(Only $40/year buys a professional membership @ http://www.onliberia.org/lsa_membership.htm)
Students $ 80
One-day registration $40
Overseas visitors will receive the discount up through the conference.
Send checks to:
Liberian Studies Association
Make checks payable to:
Liberian Collections Project
In memo line, please write:
For LS39 Registration
Federal Merchant/ Vendor Number for Indiana University is # 35-6001673.