Registration Opportunities
Institutes (Thursday, October 16, 9:00 a.m. – 3:30 p.m.)
Selection

With Full Conference

Conference Institute ONLY
Rate
$165.00
$215.00
Subtotal
Amount
Session Selection (NOT NEEDED FOR SUPERVISION TRACK ATTENDEES)
Conference Registration (Thursday, October 16, 4:00 p.m. – Sunday, October 19, 12:00 p.m.)
Selection
Rate
Amount

Clinical Fellow, Member and Affiliate Members
$425.00

Pre-Clinical Fellows and Associates
$325.00

Student Members
$255.00

Former Members and Prospects
$525.00

Non Member Student (verification required)
$355.00
Continue to the optional events section
Subtotal
Can’t attend the entire Conference? Sign up for a One Day registration
Selection
Rate
Amount

Friday, October 17, 2014
$290.00

Saturday, October 18, 2014
$290.00

Sunday, October 19, 2014
$290.00
Continue to the optional events section
Subtotal
Supervision Designation Track (Limited to full track participants only, see brochure for details)
Selection
Rate
Amount

Clinical Fellow, Member and Affiliate Members
$590.00

Pre-Clinical Fellows and Associates
$490.00

Student Members
$420.00

Former Members and Prospects
$690.00

Non Member Student (verification required)
$520.00
Continue to the optional events section
Subtotal
Don’t forget to register for these optional social events! (see brochure for details)
Selection
Rate
Amount
Thursday, October 16
First Time Attendee Orientation
Friday, October 17
Yoga
Cutting Edge Conversation #1 ( 1.00CE credit)
SFBT Luncheon (1.50 CE credit)
Discussion Group #1
Optional Box Lunch: Chicken Ham Veggie
Bikers and Brats: A Fun Night with AAMFT
Saturday, October 18
Cutting Edge Conversation #2 ( 1.00 CE credit)
Meet and Greet with Patrick Kennedy
Discussion Group #2
Optional Box Lunch: Chicken Ham Veggie
Annual Business Meeting (Members only)

FREE
$0.00






FREE
$18.00
$38.00
FREE
$25.00
FREE
$0.00





$18.00
$50.00
FREE
$25.00
FREE
$0.00
$0.00
$0.00
$0.00
Subtotal
Need a Continuing Education Certificate?
Selection
Continuing Education Verification
Continue to the session selection

Rate
2014 AAMFT Registration Form
Amount
Institute-Thursday, October 16 (complete only if you have elected to attend in the registration section of this form)
100 Series
1st Choice
2nd Choice
Friday Workshops, October 17
200 Series
1st Choice
300 Series
1st Choice
2nd Choice
2nd Choice
Saturday Workshops, October 18
400 Series
1st Choice
500 Series
1st Choice
2nd Choice
2nd Choice
Sunday Seminar, October 19
600 Series
1st Choice
2nd Choice
Information
AAMFT Member ID:
Full Name
Address:
City, State, Zip:
Email:
Telephone:
Under the Americans with Disabilities Act (ADA), do you require auxiliary aids or services?
Do you have food allergies or religiously based dietary restrictions? (Luncheon participants only)
Payment Type
 Check#
Credit Card Number:
 Visa
Exp. Date:
3 or 4 digit VCode:
 Mastercard
 Amex
Amount:
How did you hear about the 2014 AAMFT Annual Conference?




AAMFT Website
Email from AAMFT
AAMFT Social Media Platform(s)
AAMFT Publication




Previous AAMFT Conference/Event
AAMFT Division
Friend/Colleague
Other publication
$10.00
TOTAL
Visit www.aamft.org/annual conference for more information