| Workshop Registration Form Spring 2000
Jessica Benjamin,
Ph.D.
Beyond Either / Or:
Gender, Intersubjectivity and the Post-Oedipal
Saturday April 1,
2000
________________________________Degree_______
Name |
___________________________________________
Address |
| ___________________________________________ |
___________________________________________ |
Office____________________Home________________
Phone |
| Membership Status
|
Fees
|
| ( ) Nonmember |
$150.00 |
| ( ) Member |
$125.00 |
| ( ) Student,
includes lunch |
$55.00 |
| Total:: |
_______ |
| Please make check or money order payable
to DSPP
|
Please send completed registration and
payment to:
Dallas Society for Psychoanalytic Psychology
c/o Sarah Aberg, LMSW-ACP
5646 Milton, #409
Dallas, Texas 75206 |
|