Message 3 of 5: Registration Form

Jerald Forster (counsel@u.washington.edu)
Wed, 26 Feb 1997 20:46:54 -0800 (PST)

PRE-CONGRESS REGISTRATION FORM
XIIth INTERNATIONAL CONGRESS on PERSONAL CONSTRUCT PSYCHOLOGY
JULY 9 - 12, 1997, AT SEATTLE, WASHINGTON, USA

Basic Registration Fee before March 30, 1997 $130 __________
or
Late Registration Fee (after March 30) $150. __________

Basic Registration Fee for Full-time Student $ 50. __________
or
Late Registration Fee for Full-time Student $ 70. __________
(Include Advisor statement of full-time student status)

Gala Dinner on Saturday Evening, July 12, 1997 $ 40.x ___=________
(write in number of tickets)

Pre-conference workshops, July 8, 1997

___ Fay Fransella 8:30 AM to 12:30 PM $ 60. __________
or ___ Michael Mohoney 8:30 AM to 12:30 PM $ 60. __________

___ Hubert J.M. Hermans 2 PM to 6 PM $ 60. __________
or ___ Larry Leitner 2 PM to 6 PM $ 60. __________

Or, if you register for two workshops $ 95. __________

Total (Please enclose a check or money order in U.S. Dollars
payable to PCP12th Congress) $ _________

Your Name ________________________________________

Address ________________________________________

________________________________________

Telephone: _________________________ FAX: ___________________

e-mail: _______________________________________________

Mail this registration form and a check or money order to:
Jerald Forster, Ph.D.,
University of Washington, Box 353600
Seattle, WA 98195-3600
USA

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