The 19th Midwest Institute for Students and Teachers of Psychology

Online Registration Form

February 24 and 25, 2012

 

Participant Categories and Fees

Participant Category

Before 2/10/12

After 2/10/12
College Instructor $150 $175
High School Teacher $125 $150
Adjunct Faculty and Retirees $50 $75
Student $30 $50

To register online you must complete every field on the following form:

Participant Category:

First Name:

Last Name:    Title:

Institution:

Address:

City: State:   ZIP code:

Phone Number:

E-mail Address:

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