AMCAP--Convention Registration Form

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AMCAP Convention Registration Form
April 3-4, 2008
Joseph Smith Memorial Building, 9th Floor
Salt Lake City, Utah

Pre-Convention
Wednesday, April 2, 2008
U of U Institute, 5th Stake and Alpine UT

Late Registration fee of $20 will be charged at the door and on the Internet. (Prices in the drop-down menu do not reflect the additional $20 for late registration. This will be added in the checkout process after you've completed the form.)

Refunds in full will be given for cancellations.

Convention Fees: (Fees include lunch both days and must be included)

Professional & Associate Members

Spouses, Retired Members, International Associates

Non-AMCAP Members

Students

Students Without Lunch

Audio CD Sets of This Convention (both days)

CE Credit Specification:

Please check your occupation for CE hours

Certified Counselor

Licensed Professional Counselor

Marriage/Family Therapist

Psychologist

Social Worker

Student

Other

Will attend AMCAP social with John Bytheway & silent auction Thursday (no charge)

Yes No

If yes, please indicate how many will be attending.

Pre-Convention Workshop on Wed. April 2nd (U of U & Alpine, UT) Full day workshops include lunch

Preconvention Registration:

PLEASE NOTE: The Ulrich & Kelley presentation is located in Alpine, UT. Limited to first 12 to email AMCAP office

Select the Presenter Below:

AMCAP #:

Your Name:

Your Guest's Names: