LIPC Conference Registration

LIPC 2014 Registration

Registration Fee: The fee for early registration by mail is $10.00. Make your check or money order payable to Molloy College, indicating "LIPC registration" in the memo line. Cash and credit cards cannot be accepted for early registrations. The fee for late onsite registration is $15.00 and is payable in cash. The registration fee covers admission to all conference proceedings and lunch. If you are paying by check/money order, please mail it by April 22 to guarantee receipt prior to the conference date.

The registration fee will be waived for steering committee members and volunteer staff.

Please complete the following questions for registration purposes: or, download this PDf and fill it out.

First name:

 

Last name:

 

Street address:

 

City:

 

State:

 

ZIP code:

 

Email Address:

 

Institutional affiliation:

 

Academic status:

Please check off one of the following:

 

__Undergraduate Student

__Graduate Student

__High School Student

__Faculty

__Other

  

Mail this completed form and your check/money order to:

Dr. Melissa Gebbia
Room 100 Siena Hall
Department of Psychology and Counseling
Molloy College
1000 Hempstead Avenue
Rockville Centre, NY 11571