Registration Information & Form
Didier ANZIEU – Christine ANZIEU-PREMMEREUR
PARTICIPATION: The conference is open to all.
LANGUAGE: English with simultaneous translation.
REGISTRATION FEE:
Early Registration (till February 28th): Regular fee: 30 €/35 $; IPSO members: 25 €/30 $
After February 28th: Regular fee: 35 €/40 $; IPSO members: 30 €/35 $
Please deposit the registration fee to the bank account of Istanbul Psychoanalytic Association for Training, Research, and Development, Garanti Bankasi Nişantaşı Branch, Branch Code: 132
Euro Account IBAN: TR73 0006 2000 1320 0009 0757 16
USD Account IBAN: TR46 0006 2000 1320 0009 0757 17
Please send the bank receipt and the Registration Form to the fax number (212) 224 10 03.
You may also send your receipt and registration form to psikeistanbul@gmail.com. In this case, please send the registration form in the attachment and state the number of your receipt and the bank branch.
REGISTRATION FORM
Name: …………………………………………………………… Surname: ………………………………………………………..
Profession:• Psychoanalyst • Psychoanalytic Candidate • Psychologist • Psychiatrist• Psychological Counselor
- Social Service Specialist • Psychiatric Nurse• Student/Assistant
Degree of education and/or academic title: ………………………………………………………………………………….
Place of occupation and/or institution of training……………………………………………………………. .
Address: …………………………………………………………………………………………………………………………………….
Postcode: ………………………………………. City: …………………………………………………………………………..
Telephone:……………………………………………………….
e-mail:……………………………….@…………………………