Society of Southeastern Social Psychologists
Annual Meeting / November 3-4, 2000 / Macon, GA
Advance Registration Form

 
Conference Registration and General Information
Advance registration is recommended for your convenience and to avoid possible delays when registering on site.  Advance registration forms must be received no later than Monday, October 23. Please do not mail or fax registrations after October 23. 

 
STEP 1: Name/Address

Fill in all information as requested. Be sure to include your telephone, fax and e-mail address. 

First Name
Last Name
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Work Phone
FAX
E-mail
URL
required field STEP 2: Payment Information
Registration Fees:
Students: $30
Faculty: $40

We are not equipped to accept online payment for advanced registration. Please send payment to Frank Dane  

Francis C. Dane
Department of Psychology
Mercer University
1400 Coleman Avenue
Macon, GA 31207-0001

Designed by Robert McMillen.
email me if you experience problems with this form.
Copyright © 2000 [SSSP]. All rights reserved.
Revised: September 29, 2000