ISSWSH 2012 Annual Meeting

Registration Form

Registration fees are subject to change. To lock in these rates, register now.
To avoid late charges, please register on or before January 20, 2012.

       
Thank you for your interest in attending the upcoming ISSWSH Meeting. The online registration is now closed; however, on-site registration will be available.
       
       
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 20, 2012.
  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 $175 $465 $35 per course
       
Active Member Non-Physician Health Professional $145 $365 $30 per course
       
Active Member Resident/Student (must provide Department documentation) $95 $195 $20 per course
       
Non-Member Physician $225 $565 $45 per course
       
Non-Member Non-Physician Health Professional $195 $440 $35 per course
       
Non-Member Resident/Student (must provide Department documentation) $145 $225 $25 per course
       
Non-Member Industry $475 $695 $55 per course
       
Israeli registrants $175 $225 $35 per course
       

Late fee if you register after
January 20, 2012

$130 $130 $10 per course
       
 
Instructional Course Information
Select each course you plan to attend
Please Note: You MUST be registered for the annual meeting in order to attend the Instructional Courses.

(Fees vary by registration category and are per course. Please be sure you have indicated the number of course on the form above and pay the correct fees.)

CONCURRENT INSTRUCTIONAL COURSE #1

Sunday, February 19, 1:35 p.m. – 3:05 p.m.
Chronic Disease and Its Implications on Sexuality: Cancer, Diabetes, Cardiovascular Disease and Depression

CONCURRENT INSTRUCTIONAL COURSE #2

Monday, February 20, 11:00 a.m. – 1:30 p.m.
Current Issues in Sexual Pain: Expert and Evidence-Based Recommendations

   
CONCURRENT INSTRUCTIONAL COURSE #3

Tuesday, February 21, 1:30 p.m. – 3:00 p.m.
Integration of Sex Counseling into Clinical Practice – A Skills-Based Approach

CONCURRENT INSTRUCTIONAL COURSE #4

Wednesday, February 22, 9:30 a.m. – 11:00 a.m.
The Sexual Life of Breast and Gynecologic Cancer Patients – How Can Professionals Care?

 
Optional / Evening Functions for the Annual Meeting
Please let us know which functions you will attend:
 
Sunday, February 19, 2012
Welcome Reception
(One ticket included in your registration fee)
Additional Tickets: $35 per person
 
Tuesday, February 21, 2012
Farewell Reception
(One ticket included in your registration fee)
Additional Tickets : $50 per person
 
 

Cancellation Policy
All cancellations prior to January 20, 2012, will receive a full refund less a $100 administration fee. No refunds will be granted after January 20, 2012.

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