Seligman Conference Registration

Conceiving the Minds of Others: Developmental Psychoanalytic Perspectives with Stephen Seligman, DMH

Co-sponsored by Austin Psychoanalytic and Center for Psychoanalytic Studies
Conference Registration

Janary 29, 2022
Name *

First Name Last Name
License / Degree (PhD, PsyD, LCSW, LPC, MD, LMFT, etc.)
Email *
example@example.com
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number

Area Code Phone Number
If paying for the conference by check, please submit the registration form electronically and mail a check made out to Austin Psychoanalytic to P.O. Box 162082, Austin, TX 78716.

Registration *

Full Member $ 80.00

Non-Member $ 100.00

Early Career Professional (within 5 years of graduation) and Retired $ 40.00

Student $ 20.00

Fanon Fund (Black or Indigenous Participants) Free

Please contact info@austinpsychoanalytic.org for information on the Fanon Fund.

Registering with a Check by Mail - no credit card required Free

Conceiving the Minds of Others: Developmental Psychoanalytic Perspectives with Stephen Seligman, DMH