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AMCAP Convention Registration Form
April 1-2, 2004
Joseph Smith Memorial Building, 9th Floor
Salt Lake City, Utah
Pre-Registration is due by March 26, 2004
Registration at the door is $20 extra (unless registration is full)

Convention Fees:  (Fees include lunch both days and must be included)

Professional & Associate Members
Spouses, Retired Members, International Associates
Non-AMCAP Members
Students
Students Without Lunch


Audio Tape Sets of This Convention (both days)
CE Credit Specification:
Please check your occupation='checkbox' name='attribute_9_value_1' value='Certified Counselor' onclick='' onblur='' onfocus='' onchange=''> Certified Counselor
 Licensed Professional Counselor
 Marriage/Family Therapist
 Psychologist
 Social Worker
 Student
 Other
AMCAP #:
Your Name:
Your Guest's Names:



AMCAP is an international professional organization of counselors, psychotherapists and others in helping professions whose common bond is adherence to the principles and standards of the Church of Jesus Christ of Latter-day Saints. Individual opinions and ideas do not necessarily reflect those of the AMCAP board or the general AMCAP membership. AMCAP is neither sponsored by nor does it speak for the LDS church or its leaders.


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For more information:
2540 East 1700 South
Salt Lake City, UT 84108 US
Email: mail@amcap.net
(801) 583-6227



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