About Professional Membership

Frequent professional development and networking events featuring current topics with expert speakers. Includes member discounts for these events
Member discount fee for Annual Meeting and Dinner
Notifications via email of upcoming events
Opportunity to become a speaker at either public workshops or professional development events
Opportunity to contribute to blog articles for our website with linkage to your website
Free listing of your support group on our website

All benefits of the basic membership as listed above plus

1. Listing in online Directory including:
   • Reciprocal link to your websiteName/address/phone/fax/email/business name
   • Description of services provided, affiliations, education, professional memberships etc.
   
   **The online directory is continuously updated throughout the fiscal year as new information or additions are made.

   Please provide a description of types of service(s) you provide. Please limit to 200 words if possible. If listing is unchanged from previous Directory, please add 'unchanged' in box. All starred (*) fields are required.
   
   
   

   *Name:

   First Name: Last Name:

   Business Fax:

   *Organization or Firm Name:

   *Business Address:

   Address 1: Address 2: City: State: NoneAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaOntarioPrince Edward IslandQuebecSaskatchewan============AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDist of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Country: AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarticaAntiguaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia/HerzegovinaBotswanaBouvet IslandBrazilBritish Indian OceanBrunei DarussalamBulgariaBurkino FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandColombiaComorosCongoCook IslandsCosta RicaCroatiaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuyanaHaitiHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKoreaKuwaitKyrgyzstanLaoLatviaLebanonLesothoLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMonserratMoroccoMozambiqueNamibiaNauruNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorwayOmanPakistanPalauPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussian FederationRwandaSt. HelenaSt. KittsSt. LuciaSt. PierreSt. VincentSamoaSan MarinoSao TomeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSpainSri LankaSurinameSvalbardSwazilandSwedenSwitzerlandTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidadTunisiaTurkeyTurkmenistanTurksTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUsbekistanVanuatuVenezuelaViet NamVirgin IslandsWallisWestern SaharaYemenZambia Postal Code:

   *Business Phone:

   *Professional Title:

   *Email:

   Website:

   Counties Served:

   *Collaboratively Trained?:

   Y
   N
   

   *Directory Information (Please limit to 200 words or put 'unchanged' if same as previous listing) :