66th AAMFT Annual Conference
Memphis, TN
October 30 - November 2, 2008
 “Ethical and Legal Challenges in
Contemporary Family Therapy”

AAMFT Annual Conference Invitation/Brochure Application

The American Association for Marriage and Family Therapy (AAMFT) is hereby authorized to reserve an advertisement at the 66th Annual Conference of the AAMFT, October 30 - November 2, 2008, to be held in Memphis, TN.

Instructions: Please use your tab key or mouse to move from box to box.  Do not use the enter key. All data on this form is encrypted before it is transmitted to AAMFT.  Please note that all ads must be prepaid and there is a no refund policy. This is a secure web form. {*All fields in red require an entry.}   

Company Name
Contact Person
Mailing Address 
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State/Province
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  Please Enter Your Credit Card Billing Address
Please check here if your credit card billing address is the same as your mailing address. 

Please check here if your credit card bill address is different than your mailing address.  (If this box is checked, please fill out information below.)
Billing Address Street Number
Billing Address
Zipcode
Email
Phone#
Fax#
Website
  Please check the correct box below.
Size Rates
Inside Front Cover $2,650.00
Inside Back Cover $2,450.00
Full Page $1,800.00
Half Page (horizontal) $950.00
Quarter Page $500.00
Eighth Page (column) $250.00
Eighth Page (horizontal) $250.00

How did you hear about advertising in the Annual Conference Invitation/Brochure?

Agreement
As the representative of the company/organization named above, I have read and agree to abide by all the requirements, restrictions, and obligations of the AAMFT Annual Conference Invitation/Brochure as outlined by the AAMFT. This form is a legally binding contract when countersigned by the AAMFT.  The AAMFT reserves the right to refuse this application for any reason.

Company Agreement
AAMFT 
Agreement

Select Your Method of Payment (all payments must be in U.S. dollars)

Credit Card Information

Your Total advertising Cost is:

Credit Card #
Exp. Date
V Code
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I understand that by clicking the Submit your information to AAMFT button below, I am authorizing AAMFT to charge the above credit card for the amount listed.

For Your Records Please Be Sure to Print This Page Before Clicking Submit!

   

Secure Form!  All data is encrypted before it is submitted to AAMFT for your protection!

© 2002 American Association for Marriage and Family Therapy
112 South Alfred Street, Alexandria, VA 22314-3061
Phone: (703) 838-9808 • Fax: (703) 838-9805