2017 CONVENTION REGISTRATION FORM

Trauma: Helping our Clients, our Communities and Ourselves

November 2, 3, & 4, 2017

Click here for a copy of the 2017 Registration Form to fill out and mail in.


PLEASE NOTE: If you are an IPA member, please click here to login to get member pricing.




SELECT REGISTRATION CHOICES

THURSDAY, FRIDAY AND SATURDAY PROGRAMS
  Non-Members: $495

THURSDAY WORKSHOP ONLY (Includes Lunch)
  Non-Members: $225

FRIDAY PROGRAMS ONLY (Includes Lunch)
  Non-Members: $225

SATURDAY PROGRAMS ONLY
  Non-Members: $140

  I prefer a vegetarian lunch on Friday


Credit Card Information



YOUR PROGRAM CHOICES: Check the number of each program you plan to attend on Friday and Saturday. This information will help determine meeting room size. Refer to program numbers listed with program titles.

Friday: A.M.   All Association Meeting   1   2   3   4   5   6   7   8  

Friday: P.M.   9   10   11   12   13   14   15   16  

Saturday: A.M.   17   18   19   20   21   22  
Conversation Hour: Pre-doctoral Psychopharmacology