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International Practice Research Symposium

To register for the International Practice Research Symposium, please fill out the form below and submit online. Once the form is submitted, you can download payment information from a pdf file. Please mail the form and payment to the address given.

Fees are payable in U.S. dollars and are as follows:
$40.00 if registered (online) on or before April 1, 2005
$50.00 if registered after April 1, 2005
$25.00 for students

Name (required)

University/Organizational Affiliation

Preferred Mailing Address

Phone

Fax

Email (required)

Issue track of major interest
Child Welfare
Aging
Substance Abuse
Mental Health

Special Dietary Requirements

Additional Comments

 

Open and print out this pdf payment form.

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Please send questions or comments about School of Social Welfare to: sswhelp@albany.edu

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