Registration

Please print this page, and send it with correct
payment to the address at the bottom of this page
:

Last Name:

First Name:

Title:

Institution:

City:

Email:

Phone:

Before or by July 18, 2015:
SCU Students: Free
All Other Students: $50
Academic Faculty: $150.00
MD: $300
SLP: $175 (Stipend available. Contact voiceconf2015pvsf@gmail.com)
Performers & Teachers: $75
NATS & VASTA Members: $75
PVSF Members per category: See website (http://www.pvsf.org/)
Prior attendees of PVC: Special discount valid until July 18, 2015. $50 for all professional categories (MD, Ph.D., SLP, RN, etc.), $25 if prior attendee is a performer
Note: Fee for PVSF sponsored attendee (no registration fee) who wants CEU is $50 & $75 for CME

After July 18, 2015:
Add 20%
On site: Add 30%

Cancelation:
Full refund if cancelled before September 15, 2015
50% if cancelled by October 1, 2015

Accreditation:
This program is accredited for CEU by ASHA and for CME by USC (amount of units will be determined soon)

US Registration:

Send registration payments by check only to:
PVSF
3838 California Street, Suite 505
San Francisco, CA 94118

Non-US Registration:

Send registration payment to PVSF
3838 California Street, Suite 505
San Francisco, CA 94118

or by:

Wells Fargo Account (in progress)
Paypal (in progress)

Address any questions regarding payment to voiceconf2015pvsf@gmail.com