MidAtlantic Teaching of Psychology Conference
                                      MATOP
                                  October 30 2009                   

MATOP REGISTRATION


Name______________________________________________________

Address____________________________________________________

             ____________________________________________________

Institution__________________________________________________

Telephone # (Office)_________________________________________

Email Address______________________________________________

Credit Card (type and Number) _________________________________

Signature for credit card processing _____________________________

Please make checks payable to Prince George’s Community College

Mail your registration form and check ($50.00 by 9/15/2009; after $60.00) to:

Dr. Diane Finley,
Coordinator, MATOP Conference
Department of Psychology M2054
Prince George’s Community College
301 Largo Road
Largo, MD 20774

Fax: (Be sure to put a cover sheet with the above information):
301-808-0418