Soiree-registration

Soirée 2024 Registration

Please complete this registration form and then continue to make your payment.

You will be directed to the payment link upon submission of this form.
If you do not receive the link, it is available on this page to the right.

**If you experience any difficulties registering online, please contact Brita Klein to register at [email protected] and mail a check made out to VPSG to:
Brita Klein
1 Main Street, Suite 212
Burlington, VT 05401

* Indicates required field

Name *

First

Last

Email *

Degree *

Psychoanalytic training? *

yes no

If yes, date completed and program of study *

Professional affiliation *

Student membership *

Comment *

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Soirée 2024 Registration

Vermont Psychoanalytic Study Group

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