Membership form

Name

First name

Gender

female

Address

Zipcode

Place

Country

Phone number

Fax number

E-mail

Website

I would like to apply for membership to the European Association for Regression Therapy to become a:

  - Student member - membership fee 45 euro Professional member - membership fee 90 euro Certified member - membership fee 90 euro

I study at or am graduated from one of the below mentioned training schools:

- None of the below Evadio MindWalking Personality Development Past Life Regression Academy School voor Reincarnatietherapie Nederland (SRN) School voor Emotieve Therapie (SET) SVRT Tasso Terapia Regressiva e Téchnicas Integradoras Woolger Training International World Regression Institute (Turkey)

in (expected) year of graduation:

In case your choice was "none of the below", please fill in your training school and (expected) graduation date. Our membership committee will then contact you as soon as possible to go through the steps of your application.

I am officially licensed or accredited as clinical psychologist, psychotherapist or medical doctor

I am certified by IBRT

Main reason for becoming a member:

Please leave any remarks or questions here, make sure that your e-mail address is mentioned above, so we can get back to you.

In case you have any difficulties filling out this form, please contact us.

After your application has been accepted, you will receive a confirmation and an invoice for the membership fee. Invoices can be paid by bank transfer, credit card or Paypal. The cost of paying by Paypal is an additional 5 euro.

Resignation of membership needs to be addressed to the Board and send ultimately 3 months before the end of the business year. The business year runs from July 1 until June 30 of the next year.