Association for
Harm Reduction Therapy

Membership Application

First Name
Last Name
Degree          BA/BS   MA/MS   PhD/PsyD   MD/DO   Other
Address
Address-line 2
City
State or province
Zip or postal code
Country (if not US)
Email
Phone
Fax
Amount you'll be paying
($100 for Member, $75 for Associate, $25 for student)		 Member - $ 100
Associate - $ 75
Student - $ 25
Form of payment: Online         By mail
Tell us briefly about your interest and work (if you are a worker) in harm reduction therapy:

   

After you submit your membership application you will be taken to a payments page, where you can pay online, by phone or by mail.

Presented by: The Harm Reduction Therapy Center, The Addictive Behaviors Research Center, Harm Reduction Psychotherapy and Training Associates, The Harm Reduction Journal, Cascadia Addiction Research and Education

Privacy        Terms of Use        About Us

 

Web site design by The WhiteRock Alternative, Bert H. Hoff © 2007 Bert H. Hoff, Association for Harm Reduction Therapy