AOOP: Academy of Occupational and Organizational Psychiatry

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Annual Meetings

Registration Form

2001 AOOP Annual Conference:

"From Consultation to Care:
Meeting Diverse Needs in the Modern Workplace"

January 12 - 14, 2001

Please complete the registration form below, and Print it out to fax it with your payment to (877) 789-6050, or mail it to AOOP, 717 Princess Street, Alexandria, VA 22314

Name:

Company:

Address:

City:
 State:
 Zip:

Phone Number:
Fax Number:

E-mail address:

Payment Type

Check    Credit Card: Visa    Mastercard    Amex

Name on Card:
Card Number:
Exp. Date (MM/YYYY):
Signature:

I require the following special accommodations to fully participate in the conference:

Main Conference Program (January 13-14, 2001) Received by
December 4, 2000		 After
December 4, 2000
General Member/Affiliate Member $300.00 $350.00
Member in Training $60.00 $75.00
Corresponding Member $300.00 $350.00
Non-Member $350.00 $400.00

 

Friday January 12, 2001 Member Non-Member
Pre-Conference Workshops $200.00 $250.00
Pre-Conference Dinner
(Psychoanalytic Consultation)		 $90.00 $110.00

*Please note that you must be current with your membership with AOOP for the 2001 membership year to qualify for these member rates. Otherwise you will be considered a non-member. If you have any questions, please contact us at (877) 789-2667.

 

 
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