Registration APA Conference Registration If you are human, leave this field blank. Attendee Name * Preferred Name Gender Pronouns (Check all that apply) He/Him/His She/Her/Hers They/Them/Theirs OtherOther Email * Use same email as zoom account Phone Number Institutional or Organizational Affiliation Current APA Division 45 Membership Status * Member Non-Member Registration Type * Undergraduate Student Graduate Student Post-Doctoral Professional Do you have any accommodation needs? Conference registration fee for non-members include one-year (starting Jan. 1, 2022) membership to APA Division 45 Conference Registration Rates Please fill out all required fields on this form. Refunds are available through June 7th, 2021. If you have any questions during this process or need to request a refund, please contact us at apadivision45conference@gmail.com Early Bird Registration Ends on June 7th, 2021 Select Conference Registration * Professional Member Regular ($150) Professional Non-Member Regular ($200) Post Doc Member Regular ($100) Post Doc Non-Member Regular ($125) Graduate Student Member Regular ($70) Graduate Student Non-Member Regular ($85) Undergraduate Student Member Regular ($25) Undergraduate Student Non-Member Regular ($35) All fees includes Preconference Registration Please Note: After choosing SUBMIT below, you will be taken to the secure payment authorization site and will not be able to return to this page. Also note that your reservation is not confirmed until payment is submitted. Total Submit