CONFERENCE REGISTRATION INFORMATION

Click here for CONFERENCE details.

Registration Fees BEFORE April 18, 2005 AFTER April 18, or at the door
  Non-Member NYNG Member * Non-Member  NYNG Member*
Regular $95 $65 $105 $75
Student $25 $20 $30 $25
         

*Please note that NYNG dues for new members or for renewals may be included with the registration fee in order to get the reduced member rate:

Regular dues:  $30             Student dues: $15

REFUNDS: Refunds are issued upon request minus a $20 administration fee (students $5) for cancellation before April 20.

TO become a MEMBER, first click here.

TO REGISTER for the Conference only:

1) ONLINE:TO BEGIN THE REGISTRATION PROCESS ONLINE, PLEASE FILL IN THE REGISTRATION FORM BELOW AND CLICK "SUBMIT." THEN RETURN TO THE PAYMENT SECTION. 

2) BY MAIL (or in person):  PLEASE PRINT OUT THE FORM BELOW AND  MAIL TO NYNG  OR BRING TO THE CONFERENCE WITH YOUR CHECK. Personal or business checks only should be made out to New York Neuropsychology Group.  Please be sure to put your name and address on the check.  Mail to: 

MAIL TO: 

Dr. Alizah Brozgold / NYNG
Rehabilitation Medicine, Link 1
St. Vincent's Hospital
153 West 11th St.
New York NY 10011


 Please note that Credit cards will NOT be accepted for payment at the Conference. (Checks or cash only).

REGISTRATION FORM:

To REGISTER,  please fill in ALL the information requested below and click on SUBMIT when you are ready.

Title: First Name:      Middle Initial: 

Last Name:

Highest Degree: 

Area(s) of Specialization:

Affiliation (e.g.,Department, Institution):

Preferred Mailing Address:

Street:

City: State: Zip:

Telephone:    Email address:

Fax #:

 Comments?

3) ONLINE Credit Card Payment: 

IN ORDER TO COMPLETE THE REGISTRATION PROCESS ONLINE,  click on the PAY NOW button below for secure online payment by credit card or by PayPal account. Most major credit cards may be used to pay ONLINE. Please complete all the requested information.  Please note that you do NOT need to set up an account with PayPal in order to pay online. (If you choose to set up a PayPal account, this account may then be used for any online transaction that accepts PayPal).  

Please note that Credit cards will NOT be accepted for payment at the Conference. (Checks or cash only).

PAY NOW