Registration Form

AAMFT-CA Networking District: Santa Monica-West L.A.

Fill in the form below to sign up for a district meeting. Please make sure that your email address is correct.

Attendee Information *required fields

Membership Number:

Name:*

Address:*

City:*

State:*

Zip:*

Phone:*

Fax:

email:*

Are you a member of AAMFT?:

Receive AAMFT Member Info:

Single Event

AAMFT Member: $25

Non-Member: $35

Upcoming Events

Grow Your Practice Using the Internet: Cost-Effective Online Strategies for Therapists

  • Friday, July 11, 2008
    8:45 a.m. to 11:30 a.m.
    Registration and Informal Networking 8:45-9:30 a.m.
  • Location: The Daily Grill-Santa Monica
    2501 Colorado Ave (In the Yahoo Center)
    Santa Monica, CA 90404
    (3 hours Validated Parking at No Charge)

Credit Card Information

Name on Card:*

Credit Card Type:*

Card Number:*

Expiration:*

Please Note that if you receive an error when submitting this form, use your browser's "Back" button to return to this form.

Registrants not attending the meeting or failing to cancel their registration by Friday, two weeks prior to their session, will be invoiced for the full fee. There is a $20 fee for returned checks or denied charges to credit cards.