Membership Application Form

Please complete this application form and send this with your payment  of £25.00,
or £20.00 for if you are a student, unwaged or retired.
Cheques should be made payable to “NWRPA”.

Our membership criteria are:
1. That you should live and work in the North West and subscribe to a Code of Ethics which is acceptable to the Association and which must include respect for the entitlement to confidentiality of our clients, patients and colleagues.
2. You are a Psychotherapist, Trainee Psychotherapist or member of a related profession.

Your application will need to be supported by two existing members. Our custom is to propose you as a member at the
next monthly meeting following your application and then move acceptance at the meeting after that.
We look forward to seeing you in person as this gives us the opportunity to get to know you and for you to know more
about the Association and our members.

I would like to be considered for membership of the North West Regional Psychotherapy Association.
I live or work in the North West and subscribe to a Code of Ethics of .....................................................Organisation

Name:

 

Address:



 

Email:

 

Phone Numbers:


 

Signature
 

Referee:



Referee's Address:





 

Email:

 

Phone Numbers:

Please send your completed form and cheque to the address below.

Ruth Bowhill,
Treasurer NWRPA
22 Fog Lane
Manchester M20 6AL

Phone 07913 443660

E-mail ruth.bowhill@sky.com