Online Membership Application FRIENDLY REMINDERS, YOUR ACKNOWLEDGMENT IS REQUIRED.This is an annual membership. The membership period runs from January 1 to December 31 of the current year.*I have read and acknowledge the above.Please note, the THTC membership is tied to the name of the agency and the specified program indicated on the membership form.*I have read and acknowledge the above.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.In order to receive the membership rate, the name of the agency and the specified program detailed on the membership form must be noted within the registration request.*I have read and acknowledge the above.If registration requests do not include the full agency name and program name, the non-member rate will be applied. As per THTC policies, over-payments and double payments etc. will not be refunded.*I have read and acknowledge the above.THTC does not refund membership fees, back date or accept the cancellation and re-registration of paid workshops in order to apply membership rates. If you are unsure about becoming a member and require more information, please contact the Office Administrator before submitting your request.*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*IndividualAgencyAgency 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