Antioch University New England

Applied Psychology - Continuing Education
Continuing Education
Pragmatic Language Skills Registration Form - Continuing Education - Applied Psychology - Antioch University New England

What Can I Say? What Did You Say?
Developing Pragmatic Language Skills for Social Interaction

Please print, fill out, and mail this form to:

Shelley Viles
Director of Continuing Education
Department of Applied Psychology
Antioch University New England
40 Avon Street
Keene, NH 03431-3552

What Can I Say? What Did You Say?
Developing Pragmatic Language Skills for Social Interaction

___ November 5 and 6, 2008,
___ December 10 and 11, 2008
___ March 25 and 26, 2009

First Name:_____________________________________________________________________

Last Name:______________________________________________________________________

Occupation:_____________________________________________________________________

Company Name:___________________________________________________________________

Mailing Address:________________________________________________________________

City/State/Zip:_________________________________________________________________

Day Phone Number:__________________________________

Evening Phone Number:______________________________

Email:_____________________________________________

Fees
Professional fee: $299
Discount rate per person for family members of an individual with a social communication deficit: $259
Late registration fee, within 14 days of the event: $329

Checks and purchase orders accepted. Antioch Tax ID #310536640.
Checks should be made payable to Antioch University New England.

Check enclosed $_______________    Purchase order enclosed $_______________


© 2007 Antioch University New England, 40 Avon Street, Keene, NH 03431-3516    800.553.8920

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Last Updated: 9/9/08