Registration Form

AAMFT-CA Networking District: San Fernando Valley

Fill in the form below to sign up for a district meeting. Please make sure that your email address is correct and choose the appropriate options from the drop-down menus.

Attendee Information *required fields

Membership Number:

Name:*

Address:*

City:*

State:*

Zip:*

Phone:*

Fax:

email:*

Please select your Membership Status:

Receive Membership Information:

Note: The San Fernando Valley Networking District is now offering Single Event and Multi-Event registration for their upcoming schedule. When making your selection, please click on the radio button under Single Event (green bar) or Multi-Event (orange bar).

Single Event

Please select Member or Non Member:

Upcoming Events

  • Septembr 26, 2008
    10:30 a.m. to 1:30 p.m.
  • Location: Maggiano's Little Italy
    (Topanga Shopping Mall)
    6100 Topanga Canyon Blvd.
    Woodland Hills, CA 91367

Credit Card Information

Name on Card:*

Credit Card Type:*

Card Number:*

Expiration:*

Please Note that if you receive an error when submitting this form, use your browser's "Back" button to return to this form.

Registrants not attending the meeting or failing to cancel their registration by Friday, two weeks prior to their session, will be invoiced for the full fee. There is a $20 fee for returned checks or denied charges to credit cards.