Writing Workshop 3 April 2013
Conference and Writing Workshop Registration / Booking Form
I would like to pay:
Cheque US $ or GBP (payable to the Journal of Analytical Psychology)
Credit/ Debit Card. An extra 3% will be charged if paying by credit card.
Card valid from:
Card Expiry date:
Issue Number (3 digits at the back):
candidate in analytical psychology / psychoanalysis (please specify)
medical doctor / psychiatrist
mental health practitioner
other (please specify)
Dates of arrival and departure:
single (no accommodation)
single (with accommodation)
writing workshop fee £90 / US $135
double (one participant)
double (two participants)
Total Fee Enclosed:
Cancellations will be accepted up to 15 February 2013 with a refund less
an £80 / US $120 administrative fee.
No refund will be made after that date.
For further information contact:
Pramila Bennett at
Click here to download form
Once completed please email to journal.
or return to
Journal of Analytical Psychology, 1 Daleham Gardens, London NW3 5BY
Copyright © 2012 Jungian Conferences. All Rights Reserved.