New Member Registration 2017

Thank you for your interest in joining the CACBT! In order to get the most out of your membership, please complete the below as fully and accurately as possible. Thank you.

* Required

2017 Membership

2017 Members - $100
2017 Student Member - $50



Contact Details

            
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Student Details (if applicable)








Note: Students must upload a scan or photo of a letter confirming their student status

Professional Details


Ph.D. BA MSW MSc MA PsyD Ed.D BSc M.Ed. MD CPsych RPsych CPsych Assoc FRCPC RSW RMFT Psychologue RDPsych Other








Specialty Areas
















































Note: Enter the College(s) or regulatory organization(s) that you are registered with: for example: Alberta College of Physicians & Surgeons, The Psychological Association of Manitoba, The Ontario College of Social Workers, etc

Adults Adolescents Children Older Adults Families Couples




Payment Details








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Taxes

$     If Total is blank please ensure you have selected Membership type at top of form

***Please click "Submit" only once. It may take several moments to process your payment. Clicking on "Submit" more than once may result in multiple payments being processed.***