Registration form

PERSONAL CONSTRUCT PSYCHOLOGY IN WELLNESS AND UNWELLNESS
Tenth Australasian Conference on Personal Construct Psychology
Sydney, July 17th to 20th, 2002

REGISTRATION FORM

Please send before 30 April, 2002 to:

Associate Professor Bill Warren
School of Education
Faculty of Education and Arts
University of Newcastle
University Drive, Callaghan, NSW, 2308

Fax: (02) 4921 6895
email: edwgw@cc.newcastle.edu.au

Name: Title:

Mailing Address:

Phone / Fax:
email:

Registration fee for the conference (before 30 April, 2002)	$150
Registration fee for the conference (Full-time students, unemployed) (before 30 April, 2002)	$100
Registration after 30 April, 2002: add $ 15	$15
Total amount due

Special nutrition requirements (e. g. vegetarian):

I am planning to attend the Conference Dinner: YES - NO

Please send personal or bank cheque
- payable to PCP Conference convenor -
before 30 April, 2002 to:

Associate Professor Bill Warren
School of Education
Faculty of Education and Arts
University of Newcastle
University Drive, Callaghan, NSW, 2308