IPA Salon Proposal Form
Minimum prices for salon attendance are as follows: IPA Members- $20/hour, IPA Member ECP’s - $10 discount off total price, Non-IPA Members- $30/hour, All Students- free but may limit # of attendees (prices may increase depending on cost of venue, speaker, food/beverage, etc.)

If you have questions, please contact Salon Coordinator, Dr. Brittany Neef, Psy.D., via email: brittany@drneef-llc.com

PROPOSAL MUST BE SUBMITTED AT LEAST 8 WEEKS PRIOR TO DATE OF SALON.
Salon Coordinator holds the power of approval for salons. However, if she believes the salon involves controversial topics, review by the Executive Council (EC) will be required. Salons that are not approved may be resubmitted to the Membership Committee with revisions.

Proposer Name: *
Your answer
Associated IPA Committee (if applicable):
Your answer
Phone: *
Your answer
Fax:
Your answer
Email: *
Your answer
Presenter Name (as it should appear in print): *
Your answer
Presenter Organization (if applicable):
Your answer
Event Address: *
Your answer
Event City: *
Your answer
Event State: *
Your answer
Event Zip: *
Your answer
Contact Phone: *
Your answer
Contact Fax:
Your answer
Contact Email: *
Your answer
Proposed Date of Salon: *
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Proposed Beginning Time of Salon: *
Time
:
Proposed Ending Time of Salon: *
Time
:
Location of Salon (offered online?): *
Your answer
Continuing Education Offered (1 unit per hour): *
Your answer
Salon Title: *
Your answer
Salon Description: *
Your answer
Learning Objectives (minimum of 3): *
Your answer
Presenter Bio (brief summary): *
Your answer
Budget Requests for food, beverage, etc.: Please complete the budget form: https://iowapsychology.org/resources/Documents/Legislative%20Matters/Budget%20Form.xls *
Your answer
Amount Paid to Presenter: *
Your answer
IPA Member Cost *
Your answer
IPA Member ECP Cost *
Your answer
Non-IPA Member Cost *
Your answer
Students Cost *
Your answer
Any Marketing Plans beyond IPA’s- listserv, Facebook pages, website: *
Your answer
Salon Capacity & Who’s Eligible to Attend: *
Your answer
Cancellation Policy & Registration Deadline: *
Your answer
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