The 65th AAMFT Annual Conference Healing Fractured Relationships in the 21st Century Long Beach, California t October 11-14, 2007
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Pre-Conference Institute **Optional with Additional Fee** (Thursday, October 11, 9:00 a.m. – 3:30 p.m.)
Full Conference (your total costs will be added at the bottom of this form) (Thursday, October 11, 4:00 p.m. - Sunday, October 14, 12:30 p.m.) Please select your attendance type Full conference for AAMFT Clinical Member $375 Full conference for AAMFT Associate Member $285 Full conference for AAMFT Affiliate Member $375 Full Conference for In Process $375 Full Conference for Non-Member $475 Full Conference for AAMFT Student Member $195 Full conference Non-Member Student $295 One day attendance for Friday $265 A1 One day attendance for Saturday $265 A1 One day attendance for Sunday $265 A1
Continuing Education Certificate (please select yes or no) Do you want a Continuing Education Certificate? Yes $10 No thank you
Board Dinner and Awards Presentation (Friday, October 12, 8:00 p.m. - 12:00 a.m.) Please select the number of tickets you wish 1 ticket for $45 2 tickets for $90 3 tickets for $135 4 tickets for $180 5 tickets for $225 6 tickets for $270 7 tickets for $315
AAMFT Annual Conference Recordings With your registration, you can purchase a CD of all available session recordings and handouts, a DVD recording of the Plenary Sessions, or both. (prices include shipping and handling) Please select a recording option CD $109 (member) CD $139 (non-member) DVD $79 (member) DVD $109 (non-member) Both CD and DVD $139 (member) Both CD and DVD $169 (non-member) (This option is only available for conference attendees)
Full Conference Selections Please select a workshop for each time slot. Be sure to give us a first and second choice in case one of your choices is full. Seats are assigned on a first come basis.
Special Needs Please check here if under the Americans with Disabilities Act (ADA), you require auxiliary aids or services. Specify special assistance required: Which of the following most influenced your decision to attend the AAMFT 65th Annual Conference? E-mail from the AAMFT Brochure in the mail My local division of AAMFT My state licensure/certification board Information on the AAMFT Website Previous Institute or Conference Attendee An ad or article in the Family Therapy Magazine An ad in the Journal of Marital and Family Therapy An ad in a publication not published by the AAMFT. Please enter the publication name and the promotion code: Word of mouth Four Easy Ways To Register! 1. E-mail this form to AAMFT by hitting the "Submit" button at the bottom of the page. 2. Print these pages and Fax to (703) 838-9805. 3. Call (703) 838-9808 and register via phone. 4. Mail this completed form to AAMFT Conference, P.O. Box 630480, Baltimore, MD 21263-0480 Note Please choose only one method of registering, so that your credit card is not charged twice. Please do not register by mail after September 28, 2007. After October 3, 2007 please register on-site, based on course availability.
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If all of the above information is correct and you have printed this page for your records, please click the submit button to send your registration form to AAMFT. You will receive an email confirmation from us soon confirming your registration. We look forward to seeing you in Long Beach!
Please print this page for your records!
Questions about your registration? Please email central@aamft.org