Registration Form

$950 AAP Members
$1,125 Non-Members

YOU MUST INCLUDE YOUR CV WITH THIS REGISTRATION FORM

____ Check here if you would like to be a group leader.
To be a group leader you will be responsible for turning in and presenting the final group project. Selected group leaders will be notified by August 1, 2001.

I understand that my registration will be confirmed upon receipt of payment. I would prefer to pay by:

[ ] Check for $_____________enclosed.
Please make check (in U.S. currency drawn on a U.S. bank) payable to AAP/PSP Journals Boot Camp.

[ ] Please charge my credit card for $_____________.

[ ] American Express [ ] MasterCard [ ] Visa

Card Number _______________________________________ Exp. Date__________________

Signature (as it appears on card) _________________________________________________

Name_________________________________________________________________________

Title__________________________________________________________________________

Company______________________________________________________________________

Address ______________________________________________________________________

City/State ______________________________________________ Zipcode ______________

Telephone ______________________________ Fax __________________________________

E-mail________________________________________________________________________

Number of Years in Journals Publishing: ____________

Job Responsibilities:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

Please mail or fax registration form, payment, and CV to:

AAP/PSP Journals Boot Camp
71 Fifth Avenue, 2^nd Floor
New York, NY 10003
Fax: (212) 255-7007
For more information call 212-255-0200 x257 or contact sfirestone@publishers.org..