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Registration Form

General Information

First Name:

Last Name:

Title:

Affiliation:

Address:


City:

State:

Zip Code:

Home Phone Number:

Work Phone Number:

Email Address:

Topic Lunch Group Registration

You’re invited to join your colleagues at a “topic lunch” on Thursday, February 15th. To facilitate networking among conference participants interested in similar topics, the program committee has arranged for a brown-bag lunch to be included in your registration fee. Information on gathering with your topic group for lunch will be provided at on-site registration. To participate in a topic lunch group, please choose one topic from the list below and enter your choice on the registration form. If you choose not to participate in a topic group for lunch, please select "None".

Family Relationships
Friendships
Identity
Gender Issues
Ethnic Issues
Media Use
Transition to Parenthood
Conceptions of Adulthood
Romantic Relationships/Sexuality
School and Work
Clinical Issues/Mental Health
Vulnerable Populations
Policy Issues
International Issues
Substance Use
None. I do not plan on attending a topic lunch.

Fee Schedule

$180 pre-registration rate through January 17, 2007
$110 pre-registration rate through January 17, 2007 for students and new professionals (0-3 years)
$220 registration rate after January 17, 2007

Payment Information

Select Your Fee (see schedule above)
$180
$110
$220

Select Your Payment Method
Paypal (see below for more information)
Check/Money Order Payable to EA Conference Coordinator

If paying by check or money order, please send your payment to:
3rd EA Conference
c/o Jeffrey Arnett
Department of Psychology
Clark University
950 Main St
Worcester, MA 01610

Upon completion of this registration form, you will receive confirmation that your registration has been received. You will be receiving a "bill" for your registration fee directly from PayPal. Our partnership with PayPal has been established to provide you with the most secure and efficient option for online payment processing. Please contact info@ssea.org if you have any questions or need additional information.

If you do not receive an email from the Conference Coordinator confirming your registration within 48 hours please send an email to info@ssea.org.

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