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45th Symposium on Family Systems Theory
and Family Psychotherapy

To Register for the Symposium

Please print this form, complete it, and mail it to:
Bowen Center for the Study of the Family
Georgetown Family Center
4400 MacArthur Blvd, NW
Suite 103
Washington, DC 20007

Registrants paying by credit card may fax this form to 202-965-1765.
Phone registration with credit card is available. Call 202-965-4400.

Make checks payable to The Bowen Center. Outside the US, please use a money order or credit card.

Name:
                                                                                                     
Organization:                                                                                                      
Address:                                                                                                      

                                                                                                     

Daytime Phone:                                                                                                      
E-mail:                                                                                                      
Credit Card: Visa / Mastercard (please circle appropriate card)
Credit card No:                                                                                                      
Expiration Date:                                                                                                      
Signature:                                                                                                      

Conference Fees
Registrations postmarked or faxed by September 8, 2008 th qualify for the early registration fee.

Please circle all choices.
CEUs: Check our website for information on CEU credits.
Symposium
Early Registration $360.00
After 9/8/08 Registration $415.00
Trainee Registration $360.00
Social Work CEUs $15.00
Counseling CEUs $15.00
Banquet $ 70.00
Complete DVD set (8 disks)
includes free shipping on US orders		 $ 265.00
   
Clinical Conference  
Registration $140.00
Trainees $130.00
Social Work CEUs $15.00
Counseling CEUs $15.00
   

Total

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