Food For Thought Registration Form

Name:
Address:
City: State: Zip:
Phone:
Email:

Please indicate which session you would like to attend:
February 29 - Barriers and Challenges of Integrating IMH
March 28 - Problem Solving: Behavior and Temperament Issues
April 25 - Problem Solving: Keeping Parents Engaged
May 30 - Problem Solving: How You Can Include IMH In Your Work
I want to attend all the sessions!

Registration Payment Levels:
$15 - Pay for 1 session at TAIMH Member Price.
$30 - Pay for 2 sessions at TAIMH Member Price.
$45 - Pay for 3 sessions at TAIMH Member Price.
$60 - Pay for All sessions at TAIMH Member Price.

$20 - Pay for 1 session at Non-Member Price.
$40 - Pay for 2 sessions at Non-Member Price.
$60 - Pay for 3 sessions at Non-Member Price.
$80 - Pay for All sessions at Non-Member Price.