Promotions Order Form

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

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.  This is a secure web form. {*All fields in red require an entry.}   

All Conference Promotions and Advertisements Must be Pre-Paid.

This is a secure web form. {*All fields in red require an entry.}   

Company Name
Contact Person
Mailing Address 
City
State/Province
Zip/Postal Code
Email
Phone#
Fax#
Website

Promotions: Please check all that apply

Pre-conference participant mailing list, $350.00

Post-conference participant mailing list, $350.00

Plenary Slides $300.00

Promotions Total:

How did you hear about promoting at the AAMFT Annual Conference?
 
A prospectus was mailed to me.
  An email about the conference was sent to me.
  I saw an ad about the conference.
  I always exhibit at the AAMFT Annual Conference.
  Other, please explain.  

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

Total Enclosed:

Credit Card Information

Credit Card #
Exp. Date
Vcode
click here for description
Cardholder 

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 below.

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