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Online Registration:

MPA Annual Convention
The BWI Marriott
November 2, 2018



Personal Information
Name:

Degree:


Phone #:
E-Mail Address:
Confirm E-Mail Address:

Schedule

7:30-8:30 am Registration and Check-In
Continental Breakfast
Exhibitor Visitation
8:30-11:45 am Morning Workshops (3 CE Credits each)
10:00-10:15 am Morning Break
Exhibitor Visitation
11:50 am-1:20 pmMPA Luncheon
Presidents Remarks
MPA Business
Exhibitor Visitation
1:30-4:45 pm Afternoon Workshops (3 CE Credits each)
3:15-3:30 pmAfternoon Break
Final Exhibitor Visitation
Door Prize Raffle Drawing (Promptly at 3:20 pm - must be present to win)
5:00-6:00 pmBonus Workshop (1 CE Credit)

Please register me for:
All Day


Morning session:  
Afternoon Session:

End of Day 1 Hour CE? (included with registration)


One 3-Hour Workshop ONLY


First choice:

Second choice:



One 3-Hour Workshop + Luncheon


First choice:

Second choice:



End of day - 1 hr workshop ONLY

(Included in All Day registration - please select from above if you are registering for All Day.)




Please check the appropriate boxes if you:



   Accomodations required:



Pricing

Member All Day Early Bird (7/1/18-8/31/18) - $230.00
Member All Day (9/1/18 - 10/22/18) - $245.00
Member 3 hour only - $115.00
Member 3 hour plus lunch - $165.00

Non-member All Day - $360.00
Non-member 3 hour only - $165.00
Non-member 3 hour plus lunch - $205.00

Bonus workshop only (The bonus workshop is included in the all day rates)
Member - $30.00
Non-member - $45.00

Registration Deadline is 10/22/18. After that date registrations will be taken on a space-available basis and will incur a $35 late fee.

Student rates are half the member or non-member rate depending on your status as an MPAGS member. MPAGS students have the opportunity to attend for free in exchange for helping with registration and monitoring duties. For information on this opportunity please email ce@marylandpsychology.org.

Member prices are for those who have joined or renewed their membership for 2018-2019. If you haven't renewed your membership yet this year, you'll need renew before receiving member price for Convention.

Non-members can join now and get member price! The difference in member/non-member price may even cover your membership dues for the year. Take a look at our member benefits and consider joining today!

Dues vouchers cannot be applied toward Convention. Vouchers can used for a 3, 4 or 6 hour stand alone workshop (like the upcoming workshops).


Payment Options

  1. You may register online using our secure server (easiest method).
  2. A check for the total registration fee may be made out to MPAF and sent to the MPA Office at: 10480 Little Patuxent Parkway, Suite 910, Columbia, MD 21044. Please indicate the workshop for which you are registering on your check. HOWEVER, you must still fill out the top half of this form, print it, and mail it with your check.
  3. You may phone the MPA Office (410-992-4258) and register over the phone.
  4. Complete this form, include your credit card information, print it, and FAX the entire form to the MPA Office at 410-992-7732.

When entering your Credit Card information please include a current expiration date and the billing address that matches your credit card billing address. Thank you!

Billing Information
Name On Card:
Credit Card Type:
Credit Card Number:
Expiration Date:
Billing Street Address:
Billing City:
Billing State:
Billing Zip:

I have read and agree to the registration details.


I understand that registration and attendance at MPA meetings and other activities constitutes an agreement by the registrant to the use and distribution (both now and in the future) of the attendee's image or voice in photographs, videotapes, electronic reproductions, and audiotapes of such events and activities by MPA..


(Your credit card information is being sent over a secure server.)

Once you submit your registration, you will receive an e-mail confirming that MPA has received your registration. Following confirmation of your credit card information, you will receive a confirmation via e-mail, and directions for the workshop. This is usually sent approximately one week before the workshop date.