Michigan Autism Conference 2019 Registration
The Michigan Autism Conference will take place on Thursday and Friday, October 10-11, 2019, with pre-conference workshops on October 9, 2019.

Please fill out the form below, one for each individual you are registering. Once completed, you will be emailed an invoice for payment. Payments can be made to:

Michigan Autism Conference
Department of Psychology
Western Michigan University
3700 Wood Hall
1903 W. Michigan Avenue
Kalamazoo, MI 49008-5439

Email address *
Registrant Name (First & Last): *
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Registrant Title: *
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Registrant Affiliation/Organization: *
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Registrant Email: *
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Registrant Phone: *
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Registrant Address (Street): *
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Registrant Address (City): *
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Registrant Address (State): *
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Registrant Address (Zip Code): *
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Select the workshop(s) you would like to attend below, if applicable. Workshops are Wednesday, October 9th. (Specific workshops can be selected on the next page). *
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