ISSWSH 2010 Annual Meeting

Registration Form

Thank you for your interest in attending the upcoming Annual Meeting. The online registration is now closed; however, on-site registration will be available at the meeting.

We look forward to seeing you there!
       
       
Registration Categories
 
Please use the table below to find your category and the appropriate course and annual meeting fee.

To avoid late charges, please register on or before January 25, 2010.
  Pre-Course Annual Meeting Instructional Courses
(Fees are for each course - you must register for the Annual Meeting in order to register for any instructional courses)
Active Member Physician / Affiliate Member $25 x # Courses:
       
Active Member Non-Physician Health Professional $20 x # Courses:
       
Active Member Resident/Student (must provide Department documentation) $10 x # Courses:
       
Non-Member Physician $35 x # Courses:
       
Non-Member Non-Physician Health Professional $25 x # Courses:
       
Non-Member Resident/Student (must provide Department documentation) $15 x # Courses:
       
Non-Member Industry $45 x # Courses:
       

Late fee if you register after
January 25, 2010

 $130 $130 $10 x # Courses:
       
       
 

New Mentor Program

If you are a student interested in participating in the Mentor Program, please email us at info@isswsh.org and
you will be as signed to a mentor to work with you at the annual meeting.
 
Instructional Course Information

Thursday, February 18, 1:35 p.m. – 3:05 p.m.
Breast Cancer, Intimacy and Sexuality

Friday, February 19, 10:45 a.m. – 12:15 p.m.
A Multidisciplinary Approach to Female Sexual Pain Disorders for the Advanced Clinician

   

Saturday, February 20, 1:15 p.m. – 2:45 p.m.
Sex Therapy Update

Sunday, February 21, 9:30 a.m. – 11:00 a.m.
Sex and the Brain

 
Optional / Evening Functions for the Annual Meeting
 
Thursday, February 12, 2010
Welcome Reception
(One ticket included in your registration fee)
Non-Registrants: $35 per person
 
Saturday, February 20, 2010
Farewell Reception
(One ticket included in your registration fee, includes one drink ticket)
Non-Registrants: $50 per person
 
Box Lunch for Non-Registrants:
Friday, February 19, 2010
$25 per person 		Saturday, February 20, 2010
$25 per person
 
 
 

Cancellation Policy
All cancellations prior to January 25, 2010, will receive a full refund less a $100 administration fee. No refunds will be granted after January 25, 2010.

Accommodations will be made on the basis of disability. Please contact the ISSWSH office at (847) 517-7225.