NEDA 2010 Conference

* denotes field is required.

Registration Category

Early Bird Rate – until 7/31	$410
Standard Rate – until 9/30	$450
At the Door Rate	$475
Early Bird One Day Rate (Sat or Sun) – until 7/31	$205
Standard One Day Rate (Sat or Sun) – until 9/30	$225
At the Door One Day Rate (Sat or Sun) – After 10/1	$250

Please select a registration category.*

Full Conference Registrant	Regular Rate 450.00
One Day Rate	Regular Rate 225.00

Registration Information

Includes all scheduled meal functions, networking, general and break-out sessions, and presentation materials.

First Name	*
Last Name	*
Name Tag First Name (Exactly as you wish it to appear)	*
Credentials (i.e. PhD, MD, LCSW)
Organization (as you would like it to be recognized)
Address	*
Address Line 2
City	*
State
Country
Zip Code or Postal Code	*
Phone Number
Fax Number
Email Address	*

Value Code
(if one was provided to you)

Special Needs (Disability/Dietary)

First time attendee?

Yes

Please choose one selection that most closely identifies your reason for attending: *

	Personally affected (self)		Professional (education/outreach)
	Personally affected (relative/friend)		Other
	Professional (treatment/research)

If you selected Professional (treatment/research) above, please answer the following two questions.

Are you a member of the following:

	AED (Academy for Eating Disorders
	IAEDP (International Association of Eating Disorder Professionals)
	Neither

Is your organization/facility accredited by the Joint Commission?

Yes

Other Accreditation

Please indicate your level of eating disorder knowledge: *

Beginner

Intermediate

Advanced

Expert

Professional Learning Day Brain, Mind and Family: New Science, New Treatment, New Hope Monday, October 11, 8:00am – 4:00pm (New York Marriott at the Brooklyn Bridge), hosted by University Medical Center at Princeton (The Professional Learning Day has a cost of $125.00. 200 person maximum) *

Yes

PFN Family and Friends Dinner, Friday, October 8, 7:30 – 8:30 pm, Dinner will be in the hotel, specific location TBA, $25 fee, reservation required.
Kick off your NEDA Conference weekend! Join us for dinner and meet your fellow conference attendees. This dinner is open to all and we look forward to seeing you there. *

Yes

Email Registration Assistance

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