| 2010 SPA Annual Meeting Registration Form |
| March 24-28, 2010 |
| The Fairmont Hotel, San Jose CA |
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Annual Meeting Registration: All participants,
presenters, leaders in scientific sessions, and workshops are required
to complete a registration form (even if your fee has been
waived). Please check your membership category, indicate your
workshop preferences, if appropriate, and note the amount due in the
spaces provided for each registration.
Workshop Registration: Enrollment in the workshops
will be filled on the basis of completed workshop registration forms and
fees received. Continuing Education credits and certificates are available
for pre-registrants upon completion of the workshop. See brochure for details.
Cancellation Policy: Refunds will be granted prior to
February 24, 2010, less a $75 administrative fee. No refunds will be
granted after February 24, 2010.
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Name (as you wish it to appear on the nametag):
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Business
Home Address
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City
State
Zip/Postal Code
Country
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Phone
(daytime) Fax
Email Address
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Last 4 digits of your Social Security #
Do not include my email in a list for meeting participants
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How did you learn of the Annual Meeting?
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| Conference Registration Fees |
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| I plan to attend the Assessment Research Interest Group, Friday, March 26, 12:00-1:15 pm | |
| I plan to attend the Collaborative/Therapeutic Assessment Interest Group, Friday, March 26, 12:00-1:15 pm | |
| I plan to attend the International Members Meeting, Friday, March 26, 12:00-1:15 pm | |
| I plan to attend the Forensic Psychology Interest Group, Saturday, March 27, 12:15-1:30 pm | |
| I plan to attend the Psychoanalytic Assessment Interest Group, Saturday, March 27, 12:15-1:30 pm | |
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