Print form to mail in registration

Workshop Registration Form Spring 2000

Jessica Benjamin, Ph.D.

Beyond Either / Or:
Gender, Intersubjectivity and the Post-Oedipal

Saturday April 1, 2000

________________________________Degree_______
Name
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Address
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Office____________________Home________________
Phone

 

Membership Status

 

Fees

(   ) Nonmember $150.00
(   ) Member $125.00
 

(   ) Student, includes lunch

 

$55.00

 

Total::

 

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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