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2012 Regional Conference Registration

Please complete your conference registration and payment online if possible. If online registration is not possible, please contact Brigette Sutton (below).

Once you click submit, your registration process is complete and you will be redirected to the payment page. Please select the appropriate conference package and complete your payment using a secure PayPal® interface. If online payment is not possible, select the appropriate conference package and print out your "shopping cart." Send this form with a check made payable to "MAR Music Therapy Conference" (U.S. Dollars only), within 5 business days to the address below. Be sure the registrant's name appears on the check.

MAR-AMTA Music Therapy Conference
c/o Brigette Sutton
225 Shiloh Avenue
Pittsburgh, PA. 15202
brigette.sutton@gmail.com

Please visit the prices page for pricing details.

Registration Form

* Name:  
* Credentials:  
* Email:  
* Address:  
* City:  
* State:  
* Country:  
* ZIP:  
* Daytime Phone:  
Alternate Phone:  
Special Services
(please specify):
 
  Enter your discount code here.
  I am attending my first MAR Conference as a professional MT.
  I am redeeming my $75 MAR coupon
  I am interested in volunteering at the conference.
  Register me for a (free) CMTE course (choose below).
You may register for the other CMTE courses on the payment page after submitting this form, but you must request the free course here.
   

CMTE course "B"
CMTE course "Q"

     
  • Full payment due with registration (when you click submit).
  • $15 Processing Fee is required if taking a CMTE course without attending the conference.
  • Refunds must be requested in writing by the following dates:
    • full refund until 2/13/12
    • 50% refund until 3/7/12
    • No refund after 3/7/12
If the name on the credit card and/or the email address for the PayPal account is different than the name and/or email address on this registration form, please fill in the credit card holder's name here:
By hitting "Submit" this registration form will be emailed to the registration chair, and you will be re-directed to a payment form. If you have any trouble registering, please contact Brigette Sutton brigette.sutton@gmail.com.
  STOP - Please do not click "submit" more than once or multiple submissions will be sent in your name. Please be prepared to complete the payment process once you click submit.
     
    * Denotes required elements