Marxism and Psychology Conference University or Prince Edward Island, Canada August 5-7, 2010 First Name: Last Name: Title: Organization: Address: Country:

Postal Code:

Telephone #:

Fax #:

Billing Address (If different from above): Registration Fees - check which applies (all prices include Goods and Services Tax (GST))

Dinner

Early Registration (March 15-April 30)

Regular Registration (May 1-June 15)

Student Standard

Student Standard

($105) ($340)

($160) ($395)

($40) - Scheduled for Friday, August 6

I enclosed a cheque for $CAD ________ (Be sure to check exchange rates at http://xe.com/ and adjust rate accordingly. All cheques/money orders should be made out to the University of Prince Edward Island.) OR: Please debit my Visa MasterCard AmEx Card # _________________________________________ Expiration Date (mm/yy) _____ _____ Name on card ___________________________________ Signature: ________________________________ Date: _____________

Late Registration (June 16-August 5) Student Standard

($210) ($445)

Total __________ Cancellation Charges: Submitted in writing before May 15 (50% refund) Please send your conference registration to: Dr. Michael Arfken Department of Psychology Universtiy of Prince Edward Island 550 University Avenue Charlottetown, PE C1A 4P3 Canada or email to: [email protected]

Because the conference will be held at the peak of the tourist season, it is important for conference delegates to book accommodations as soon as possible. Further information on accommodations can be found on the conference website: http://discoveryspace.upei.ca/mprg/