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Registration Form

2012 Pic

If you wish to pay by CHECK/MONEY ORDER, click here to download a PDF to fill out and mail back with your check. Do not fill out this online form.

Use the form to register and pay via credit card or PayPal. 

* denotes required.


* First Name
* Last Name
* Name You Like to Be Called
(this will appear on your nametag. Do not write “Same”)
Organization
* Are you a member? YesNo
* Address
* City
* State
* Zip/Postal Code
* Day Phone
Fax
* Email
* Confirm Email

FEES: (U.S. Funds)

Registration (Registration fee covers al sessions and the Awards Banquet)

Early After 4/16
NOTE: Members, Early Career Members, Student Members, and AFTA-invited Non-Members can attend the AFTA Meeting May 16-17, and full conference, May 17-19
* Member Type
Member (AFTA Meeting and Conference: May 16-19) $395 $450
Early Career Member (AFTA Meeting and Conference: May 16-19) $260 $325
Student (member or invited - AFTA Meeting and Conference: May 16-19) $135 $160
Non-Member (invited by AFTA member for both the AFTA Meeting and Conference: May 16-19) $425 $460

NOTE: Non-Members may attend the conference portion of the event, starting with the opening Keynote on May 17th at 4:00 and all events that follow.
Non-Member, not invited by an AFTA member (attending conference only, May 17 at 4:00 PM through -May 19) $375 $430


Spouse/Partner $140
Partner’s First Name
Partner’s Last Name
(Note partners who are in the field and want to participate in both the AFTA meeting and the conference, May 16-19, must register separately and at the same rate as invited non-members. This special $140 rate is only for partners who are not working in the field of family therapy and provide admission to the Plenary and Keynote sessions only, although they can also attend the opening reception and coffee breaks and receive registration materials.)


Other Optional Fees

CE Credit $40
Optional meal for Women's Institute $30
Optional buffet dinner for Men’s Institute $30
Optional buffet lunch for LGBTQ Network conversation $15
Optional buffet lunch for Latina Women's Network conversation $15
Optional buffet lunch for People of Color Network conversation $15
Optional buffet lunch for Conversation on White Privilege and Accountability $15
Optional continental breakfast for Early Career and Student Members' breakfast (there is no fee for this, but you must sign up to attend) $ 0
Extra Guest Ticket for Awards/Party, Saturday, May 19 - $70 x # extra tix
(Each full registration includes one party ticket) 		$70



Special Event (subsidized by AFTA) This year's special event will feature the beauty of the San Francisco Bay. We’ll gather atop the Maritime Museum, a stunning venue overlooking Aquatic Park, the Golden Gate Bridge and Alcatraz, yet only a short walk from the Conference hotel. At the event, food from the San Francisco Bay area’s bounty of sustainable foods will be provided, paired with wines from Sonoma and Napa Vineyards. Conference attendees will have the opportunity to mingle in small groups to network and reflect on the day's events. Non-alcoholic beverages and a specialty cocktail infusion will also be available.

Please Note: AFTA will partially subsidize this event (a $100/person value) for all attendees in order to make the event more accessible and provide everyone at the conference a wonderful opportunity to meet.

AFTA Members and non-members: ($75 each)  
Early Career Members: ($35 each)  
Students: ($20 each)  

Each year AFTA sponsors guests from marginalized communities who may not otherwise be able to afford to attend the conference. If you would like to help us do this, please make a donation here. Any amount is appreciated. AFTA is a non-profit organization. Your contribution should be tax-deductible (please check the laws in your state). We will send you a receipt acknowledging your contribution. Thank you!

Enter Amount:


Do you have any special needs (dietary restrictions or physical disability)?


CANCELLATION DEADLINE
If you cancel before April 16, 2012, you will receive a full refund minus a $50 processing fee.
After April 16, 2012 there is a 50% cancellation fee.



TOTAL AMOUNT: $ 0