AOOP: Academy of Occupational and Organizational Psychiatry

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Annual Meetings

2004 Annual Conference of the
Academy of Organizational & Occupational Psychiatry

January 16 - 18, 2004
Wyndham San Diego at Emerald Plaza
San Diego, CA

"Consultations in Occupational Psychiatry: Theoretical Basis and Clinical Applications."

Pre-Conference Schedule • Main Program Schedule • Faculty
Hotel Information • Registration Form • Joint Sponsor
Other AOOP Annual Meetings

Registration Form

Note: This form is not submitted online.

Please complete the registration information, print this page and mail or fax to:
AOOP
717 Princess Street
Alexandria, VA 22314
Fax: 1-877-789-6050

Name:

Company:

Address:

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Payment Type

Check (payable to AOOP)
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        		 Exp. Date:

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Fees & Membership Dues:

(check all that apply)

  Rcv'd
On or By
12/5/03		 Rcv'd After
12/5/03
Main Conference (1/17–18)
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
 
Pre-Conference Workshop I: Psychiatric Disability Examinations (1/16)
Member* $150.00
 $200.00
Non-Member $200.00
 $250.00
 
Pre-Conference Workshop II: Introduction to Consulting in Organizational and Occupational Psychiatry (1/16)
Member* $150.00
 $200.00
Non-Member $200.00
 $250.00
 
Pre-Conference Workshops I & II (1/16)
(discount for combined registration)
Member* $225.00
 $275.00
Non-Member $325.00
 $375.00
 
Pre-Conference Workshop III: Psychoanalytic Dinner (1/16)
Member* $90.00
 $105.00
Non-Member $110.00
 $135.00
 
AOOP Membership
General Member-US $150.00
 $150.00
General Member-Canada $120.00
 $120.00
General Member-International $75.00
 $75.00
Affiliate Member $150.00
 $150.00
Member in Training $30.00
 $30.00
Corresponding Member $75.00
 $75.00

Total Enclosed: 

Note: This form is not submitted online.

Please complete the registration information and mail to:
AOOP
717 Princess Street
Alexandria, VA 22314
or fax to:
1-877-789-6050

*Please note that you must be current with your membership with AOOP for the 2004 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 1-877-789-2667.

Refund Policy: Cancellations will only be accepted through December 5, 2003. No refunds of conference fees will be made after December 5. Membership dues are nonrefundable.

Special accomodations for those with disabilities are available upon request.

Pre-Conference Schedule • Main Program Schedule • Faculty
Hotel Information • Registration Form • Joint Sponsor
Other AOOP Annual Meetings

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