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ICSA Annual Conference
Psychological Manipulation,
Cultic Groups, and Harm
New York, NY
July 1-3, 2010
Online Conference
Registration
Sleeping room registration
Fax
to:
305-393-8193
(PH:
239-514-3081)
Mail
to:
ICSA, PO Box
2265, Bonita
Springs, FL
34103
Enter below the
number of people and
appropriate amounts
for registration
fees and meals (see
left panel for
instructions on
reserving sleeping
rooms). All fees are
per person. Full-time
students may take
the indicated
discount (bring
student ID to
registration).
Please pay in U.S.
dollars drawn on a
U.S. bank, with an
international money
order in U.S.
dollars, or Visa or
MasterCard. Your
contributions will
help
ex-members/students
needing financial
assistance to
attend. See
discount columns
for early
registration
fees. Don't forget
credit card
information at the
bottom. Fax, mail,
or e-mail this form
to International
Cultic Studies
Association (ICSA),
P.O. Box 2265,
Bonita Springs, FL
34133 (fax:
305-393-8193;
e-mail: mail@icsamail.com).
Conference programs
begin promptly.
Evenings are free
for socializing or
optional programs.
Arrive at least 30
minutes early for
registration. Full
refund up to 30 days
prior to conference;
partial refund
thereafter (contact
ICSA). The
conference program
is subject to
change. Please
print neatly.
|
No.
People |
Item |
Register
by
3/1/10 |
Register
3/1/10 -
5/1/10 |
Register
After
5/1/10 |
Calculate
Amount
Due |
|
|
If you
will
attend a
Thursday
workshop,
select
the
workshop
here:
[
]
ex-member
[
]
Families/Others
[ ]
mental
health
[
]
Research |
|
|
|
ICSA
Members
(2 or 3
days) |
$150 |
$175 |
$200 |
$ |
|
|
Non-Members
(2
or 3
days)
Includes
free
membership
|
$225 |
$250 |
$275 |
$ |
|
|
Daily
registration
-
specify
day(s):
TH
[ ]
FR [
]
SA [
]
|
$125 |
$140 |
$155 |
$ |
|
|
Full-time
students
|
$ 50 |
$ 75 |
$100 |
$ |
|
|
Sunday
Social
Event
(description
at left) |
To be
Announced |
$ |
|
|
Meals
(total
amounts
for each
meal and
day)
There
will be
speakers
for
lunches
and
dinners. |
Thursday |
Friday |
Saturday |
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Breakfast
($18 /
day) |
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Lunch
($30 /
day) |
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Dinner
($40 /
day) |
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Contribution |
$ |
Total
Amount |
$ |
|
Payment
Method:
_____Check
(U.S.
Funds
drawn on
U.S.
bank or
money
order)
___Visa
___
MasterCard
Number:
Exp.
Date: |
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Name(s): |
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Address: |
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Address
(Cont.): |
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City/State/Zip/Country:
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Phone(s)/Fax: |
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E-Mail(s)
(Important!):
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