| Benefits of Membership Free attendance at four workshops per year totaling 12 CEU's Discounted attendance at the annual conference (6 CEU's) Networking opportunities |
| To become a FWTAPT member, renew your membership, or update your contact information, please print this page, complete the form, and mail it, with your check to 3325 Kilkenny Rd., El Paso, TX 79925. |
| Far West Chapter of the Texas Association for Play Therapy Membership Application 3325 Kilkenny Rd., El Paso, TX 79925*592-5522 * Fax: 581-6314 Email: www.webmaster@fwtapt.com Website: www.fwtapt.com I would like to join FWTAPT as a (circle one): New member($20) Renewing member($15) Student ($15) Renewing student member ($15) Name: _ Licensure: Home address: _ City, State, Zipcode:_____________________________________________ Home phone: _ Work phone: _ Cell phone: __ E-mail address: _ Please list me in the directory Yes No Are you interested in becoming a registered play therapist? Yes No Are you interested in assisting with board activities? Yes No Languages spoken English Spanish Other Make checks payable to FWTAPT. Mail checks and application to 32730 Mountain Ave., El Paso, TX 79930 for office use only Paid by Cash Check #_________$__________ Date_________ =========================================================== Receipt Far West Texas Association for Play Therapy Name______________________________________________________ Membership Dues Paid with Cash Check #__________$_________ Name_______________________________________________________ New Renewing Student Membership Renewing Student Treasurer Signature_________________________________Date________ Maria Robles |
| Far West Chapter of the Texas Association for Play Therapy |
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