Student Registration

iaedp™ Symposium 2005

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Member Registration

Non-Member Registration

Registration: by Mail or Fax

Payment: by Mail or Fax

Payment: Online

Vendor Registration

Vendor Downloads

Loew's Reservation Form
(PDF)

STUDENT INFORMATION

First Name

Last Name

Address 1

Address 2

City

State

Zip

Phone

Fax

Email

Occupation

Employer

Where Did You Hear About Symposium 2005

Licenses and Degrees

Home Phone

SYMPOSIUM REGISTRATION

Before June 15, 2005

$175

After June 15, 2005

$225

Full-Time Student, One Day Registrations:

Choose Day(s) Below

Thursday, August 4, 2005

$250

Friday, August 5, 2005

$250

Saturday, August 6, 2005

$250

Sunday, August 7, 2005

$250

ADVANCED TRAINING INSTITUTE (ATI/MTI)
Before June 15, 2005
	Three Sessions	$85

After June 15, 2005
	Three Sessions	$135

Advanced Training Sessions (ATI's) or Master Training Institutes (MTI's) may be purchased separately or as additional sessions below at $65 each.
	ATI/MTI Purchased Separately	$65
	ATI/MTI Purchased Additionally	$65
	Indicate Choice(s):

PRECONFERENCE AND SPECIAL BASIC TRAINING
Preconference Childhood and the Development of Eating Disorders: Implications for Treatment. Mark Schwartz, ScD	Wednesday, August 3 9am - 4pm	$100

Special Basic Training
Eating Disorders Nutrition	Wednesday August 3 9am - 12pm	$75
Complicated role of the ED Therapist	Wednesday August 3 1pm - 4pm	$75


Certification Review Course
The Certification Review Course held on Wednesday, August 3, is considered an ATI. The course requires a $75 fee.
Certification Review Course	Wednesday August 3 9am - 12:00pm	$75
Certification Examination	Wednesday August 3 1:00pm - 4:00 pm

CONTINUING EDUCATION CREDIT

Continuing Education Credits or Continuing Medical Education

$30 Additional Fee

PAYMENT METHOD

Online Credit Card

Check or Credit Card by Mail, Phone, or Fax

Check or Money Order

Please contact Christa Baumgardner at IAEDP for
assistance with your conference or exhibitor
registration or attendance.

Christa Baumgardner
IAEDP™ Conference
P.O. Box 1480
Edgewater, MD 21037-7480
Telephone: (410) 451-9223
Facsimile: (410)-451-7373
eMail: Christa
Office hours are:
Monday - Thursday 8:30am to 4:00pm
Friday 9am to 4:00pm

**
providing education and certification
promoting effective treatment
iaedp™
The International Association of Eating Disorders Professionals Foundation
serving the eating disorders professional community since 1985!
iaedp™ is a non-profit 501c3 organization
PO Box 1295 * Pekin, IL 61555-1295
Voice: 800.800.8126 * Fax 309-346-2874 *

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