ICSA Events

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Conference - Registration


 ICSA Annual Conference

Psychological Manipulation, Cultic Groups, and Harm

New York, NY

July 1-3, 2010

 

Online Conference Registration

Sleeping room registration

 

Fax/Mail Registration Form  -  PDF Version of This Form

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

 

 

Breakfast ($18 / day)

 

 

 

 

 

Lunch ($30 / day)

 

 

 

 

 

Dinner ($40 / day)

 

 

 

 

Contribution

$

Total Amount

$

Payment Method: _____Check (U.S. Funds drawn on U.S. bank or money order) 

___Visa   ___ MasterCard

Number:                                                                                  Exp. Date:

Name(s):

Address:

Address (Cont.):

City/State/Zip/Country:

Phone(s)/Fax:

E-Mail(s) (Important!):

             

 
 

 
$

 

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