Contact Information

First Name
Middle Initial
Last Name
Affiliation
Address
Address
City
State/Province
Postal Code
Country
Work Phone
Home Phone
Fax
E-mail
Affilation part of address?		Check if "yes."
Convention Registration Information*
Days of Attendance		Thursday Only ($35) Friday Only ($35) Both Days ($60)
Membership		Check if you paid a membership for 2009 prior to registering (subject to verification by BAAM).
Workshops*		Workshop 1: Amy Matthews (Universal Supports for ASD; Thurs 1:30 pm - 4:30 pm) $25 Workshop 2: Krista Kennedy (Feeding Difficulties; Thurs 10:30 am - 1 pm) $30 Workshop 3: Barbara Esch (Establishing ABA in School Settings; Friday 10 am - 4 pm) $80
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		*Important Information: Basic Registration rate provides attendance to all sessions except workshops. Workshop fees are extra. A one-year BAAM Membership is included in registration fee. If you previously joined BAAM by mail, BAAM will credit the difference on your registraton fee.
You may pay by sending a check directly to BAAM or using cash, check, Mastercard or Visa at the door. (Sorry no Discover or American Express yet.) Make check out to "Behavior Analysis Association of Michigan"

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