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ANXIETY DISORDERS ASSOCIATION OF CANADA SCIENTIFIC AND ACADEMIC CONFERENCE
APRIL 22-24, 2010
 
First Name:
Last Name:
Address:
City:
Province:
Postal Code:
Telephone: (daytime) () -
Telephone: (evening) () -
Email:
Occupation:
Organization:
FEES in Canadian Dollars Early Registration
(By February 28, 2010)		 Regular
OPTION A : Workshop Only
Professional:
Student
 
OPTION B : Conference Only
Professional:
Student
 
OPTION C : Workshop and Conference
Professional:
Student
FRIDAY EVENING: Anxiety and Eating Disorders
 
Payment:
If you are paying by cheque, please print this form and mail to:

ADAC/ACTA
P.O. Box 117,
Station Côte-St-Luc
Montréal, QC, H4V 2Y3

 
Cancellation Policy: ADAC/ACTA 2010 Conference will offer a full refund less a $50 administrative fee as follows: requests for refunds must be made in writing postmarked, e-mailed, or faxed prior to March 22, 2010. After March 22, 2010 no refunds will be granted. Refunds will not be issued to no-shows.
 
 
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Look for news on our Webinar series coming late Fall.
 
 
 
ADAC/ACTA is not a referral service and we do not have mental health professionals on staff to answer questions. When possible please refer to our affiliate association in your province for references to services in your area.

QUEBEC (ATAQ): www.ataq.org
ONTARIO (ADAO): www.anxiety
disordersontario.ca
MANITOBA (ADAM): www.adam.mb.ca
BRITISH COLUMBIA (ADABC) : www.anxietybc.com
 
 
 

To contact us by telephone call:
1-888-223-2252 or 1-514-484-0504
Or by email at contactus@anxietycanada.ca
 
© Copyright 2007, Anxiety Disorders Association of Canada