2025 
ICKL CONFERENCE DAILY REGISTRATION / LBMS ATTENDEES
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Payment in US Check (US dollars)

Please make sure you fill all the fields.

Name							First Name	
Address	
City, Zip Code	Country	
E-Mail	Phone #	

Check as appropriate 

CONFERENCE REGISTRATION / PER DAY

O	Monday July 14	65 US Dollars

O	Tuesday July 15	65 US Dollars

O	Wednesday July 16	65 US Dollars

O	Thursday July 17	65 US Dollars

GRAND TOTAL 	……. US Dollars

PAYMENT 

O	I include a check (check cashable on US banks only) payable to ICKL.	

Form to return to Treasurer US
	Mara FRAZIER,  
	119F Thompson Library, 1858 Neil Avenue, Columbus, OH 43210, USA
	Email: treasurer-us@ickl.org