Membership Renewal Form

BCTTNS MEMBERSHIP RENEWAL FORM

Annual Dues: May 1st - April 30th

Upon submission of this form, please go to the online shop to pay for your membership.

Please note: Memberships will not be renewed until payment has been received.

Membership Fees: Select one. *

Select Method of Payment: *

E-transfer to [email protected] (PREFERRED METHOD)

PayPal via Shop on website

Cheque payable to BCTTNS and mailed to Randi Kuckein 4675 48B Street Delta, BC V4K 2S1

Date: *

Membership Number (if known):

Name: *

Address: *

City: *

Province: *

Postal Code: *

Telephone: *

Email: *

(*Your personal information (name/addres/phone number/email) will be used in accordance with the PIPED Act and may also be shared with other BCTTNS members.)

Therapeutic Touch Status: Please select all courses completed.*

Foundations of Therapeutic Touch or Level 1

Transpersonal Nature of Therapeutic Touch or Level 2

Application of the Inner Processes of Therapeutic Touch or Level 3

The Code of Ethics *

Yes, I have re-read the Code of Ethics.

I wish my name to be listed on the website as a Member. *

Yes

No

BCTTNS is always welcoming new board members, this is a great way to connect with, and be involved in building our Therapeutic Touch community. Please indicate if you would like to serve on the BCTTNS Board:

Yes

Please select other area(s) you may be interested in volunteering with BCTTNS:

Special Events

Publicity

Education

Fundraising

*Other (Please describe in the field below.)

*Other Description:

Therapeutic Touch is a Registered Trademark in Canada

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