Register for the Dinner to Celebrate the 20th
Anniversary of the VA Psychology Leadership Conference
Wednesday, May 17, 2017
The Planning Committee for the VA Psychology Leadership Conference will be celebrating the 20th anniversary of the conference. Please use this page to register for the dinner, indicate any dietary restrictions you would like considered, and submit your payment. NOTE: Please submit a separate registration and a separate payment for each person in your party. After you pay for the dinner through PayPal, you will be directed to a "thank you" page that will have a link to bring you back to this page so you can register additional guests.
Also note: If the name on the credit card you are using to pay for the dinner is different from the name of the registrant, please insert the name that appears on the credit card in the appropriate box at the end of the form so that we may connect this form with the payment.