Online Membership Application FRIENDLY REMINDERS, YOUR ACKNOWLEDGMENT IS REQUIRED.1. This is a calendar year annual membership. The membership period runs from date of payment to the date of payment the following year.* I have read and acknowledge the above. 2. If the agency has more than one program with more than 30 staff, an additional membership will need to be purchased in order for those program staff to receive the THTC member rate.* I have read and acknowledge the above. 3. Agency Membership status or reduced training rate will not take effect until full payment has been received and confirmed.* I have read and acknowledge the above. 4. Agency Membership rates will not be back dated towards previous un-paid and/or paid workshops.* I have read and acknowledge the above. 5. As per THTC policies, overpayments and double payments etc. will not be refunded.* I have read and acknowledge the above. 6. THTC does not refund membership fees.* I have read and acknowledge the above. 7. THTC’s membership is tied to the agency name and program name indicated on the membership form.* I have read and acknowledge the above. 8. In order to receive the member rate, the agency name and program name detailed on the member ship form must be noted within the registration request, otherwise the non-member rate will be applied.* I have read and acknowledge the above. Name* First Last Email* Enter Email Confirm Email Are you applying as an Individual or as an Agency* Individual Agency Agency Name (Please note, the THTC membership is tied to the name of the agency AND the specified program indicated on the membership form.)* Program Name (Please note, the THTC membership is tied to the name of the agency AND the specified program indicated on the membership form.)* Please indicate the number of full-time staff*If none, enter "0" (without quotation marks).Please indicate the number of part-time staff*If none, enter "0" (without quotation marks).Address* Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Day Phone*FaxAs a member, I agree with all THTC Bylaws, Policies and Procedures.By submitting this application, the above-mentioned acknowledges and agrees to THTC Terms & Conditions, Bylaws and Policies & Procedures* Yes, I Agree! Human verification
