Registration Form - 55th Annual Convention in Durham, North Carolina

Mail-In Form
If you would like to mail-in your registration, choose this form:

2012 PA Convention Registration Form

Online Convention Registration

All fees are to shown in US Dollars.

Name/Title/Affiliation: (to be printed on name tag)


 

 


 

 

 

Convention registration prices are for all-inclusive admission to all paper presentations, poster sessions, receptions, breakfasts, lunches, coffee breaks, and the annual banquet dinner. All attendees will receive one printed copy of the convention abstracts. Additional banquet tickets may be purchased separately for guests. The welcoming reception taking place on Thursday, August 9th will be open to all. Arrangements for accommodations must be made separately with the Millennium Hotel (919-383-8575). Please mark the options that you wish to purchase:

Membership Level Entire Convention:
Fee paid after 7/9/12
Guest Banquet Ticket** Single Date(s)
August
10          11          12
PA Members* $375 $50 $140 $160 $75
PA Student Members, Retired Members, and Member Spouses* $325 $50 $120 $140 $65
Non-Members $425 $50 $160 $180 $85

*Membership/affiliation status must be approved and dues paid prior to the convention for discounted rates. Therefore, new membership applications must be submitted by June 9, 2012.

**If you selected a Guest Banquet Ticket above, please specify the name of your banquet guest (for name tag):

If you have any questions, please contact the Executive Director Annalisa Ventola at the contact information below. Further information about the PA and the convention can be found at http://www.parapsych.org/section/41/2012_convention.aspx

Email: office@parapsych.org
Phone/Fax: 202.318.2364

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