Please
print this sheet and send by fax or mail.
A
separate registration form must be completed and submitted for each
registrant.
Contact Information
Name:
Agency:
Street Address:
City:
State/Province:
Zip/Postal Code:
Country:
E-mail:
Phone:
Fax:
Certification Type:
Certification Number:
Test
Registration
Cost for each PDP Test for the Psychiatric Rehabilitation Journal is $25.00
PDP Test for
Psychiatric Rehabilitation Journal, Fall 2008, Volume 32 Number 2
PDP Test for
Psychiatric Rehabilitation Journal, Summer 2008, Volume 32 Number 1
PDP Test for
Psychiatric Rehabilitation Journal, Spring 2008, Volume 31 Number 4
PDP Test for
Psychiatric Rehabilitation Journal, Winter 2008, Volume 31 Number 3
PDP Test for
Psychiatric Rehabilitation Journal, Fall 2007, Volume 31 Number 2
PDP Test for
Psychiatric Rehabilitation Journal, Summer 2007, Volume 31 Number 1
PDP Test for
Psychiatric Rehabilitation Journal, Spring 2007, Volume 30 Number 4
PDP Test for
Psychiatric Rehabilitation Journal, Winter 2007, Volume 30 Number 3
PDP Test for
Psychiatric Rehabilitation Journal, Fall 2006, Volume 30 Number 2
PDP Test for
Psychiatric Rehabilitation Journal, Summer 2006, Volume 30 Number 1
PDP Test for Psychiatric Rehabilitation Journal, Spring 2006, Volume 29 Number 4
PDP Test for Psychiatric Rehabilitation Journal, Winter 2006, Volume
29 Number 3
PDP
Test for Psychiatric Rehabilitation Journal, Fall 2005, Volume 29 Number
2
PDP Test
for Psychiatric Rehabilitation Journal, Summer 2005, Volume 29 Number 1
PDP Test for Psychiatric Rehabilitation Journal, Spring 2005, Volume
28 Number 4
PDP Test
for Psychiatric Rehabilitation Journal, Winter 2005, Volume 28 Number
3
PDP Test
for Psychiatric Rehabilitation Journal, Fall 2004, Volume 28 Number
2
PDP Test for
Psychiatric Rehabilitation Journal, Summer 2004, Volume 28 Number
1
PDP Test
for Psychiatric Rehabilitation Journal, Spring 2004, Volume 27 Number
4
PDP Test
for Psychiatric Rehabilitation Journal, Winter 2004, Volume 27 Number
3
PDP Test
for Psychiatric Rehabilitation Journal, Fall 2003, Volume 27 Number
2
Payment
Method
Enclosed
is a check(s) made payable to Boston University.
Payment must be
in U.S. funds by U.S. bank draft or international money order.
Please
charge my credit card
Visa
MasterCard
Discover
Card Account Number:
Expiration Date:
Signature of Authorized Buyer:
Send
Order Form to:
Sue McNamara,
MS, CRC, CPRP
Professional Development Program
Boston University Center for Psychiatric Rehabilitation
940 Commonwealth Avenue West
Boston, MA 02215
FAX: 617/353-9209
PHONE: 617/358-2574
e-mail: suemac@bu.edu
