Texas State Library Webinar Sign-in Sheet (for Groups)

The site coordinator listed on this form must be the SAME PERSON who logs in to the live Webinar event.

Please complete this form CAREFULLY and THOROUGHLY.

Only ONE form should be submitted for the entire Webinar viewing group.

This is a three page form -- the site coordinator should complete page 1, attendees (or the site coordinator) should complete the attendee information on page 2 and the site coordinator should submit the completed form.

1. Site Coordinator Contact Information

First Name *This question is required.

Last Name *This question is required.

Title *This question is required.

Library or Institution Name *This question is required.

Street Address

Apt/Suite/Office

Library or Institution City *This question is required.

State *This question is required.

Postal Code

Country

Email Address *This question is required.

Phone Number *This question is required.

Fax Number

Mobile Phone

URL

2. Webinar Information

Webinar Title (official title as listed on the TSLAC Webinars page please) *This question is required.

Webinar Date (MM/DD/YYYY) *This question is required.

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Texas State Library Webinar Sign-in Sheet (for Groups)

Site Coordinator & Webinar Information