2011 / 2012 CTRA Membership Renewal Form

CTRA membership renewal fees are due on April 1st of each year (with the exception of ATRA which is May 1st). To ensure you start receiving all the benefits of membership please renew prior to the due date.
Once you have renewed your CTRA membership and CTRA has processed your renewal you will recieve an e-letter of confirmation and "Member's Only" login information.

Important Joint Member Information ATRA, BCTRA & TRAAC click here

Please note that all information on this form must be entered. If any information is incomplete your form will not be accepted.

Member Renewal Form

Full Name

Full Home Address

E-mail Address (that you would like CTRA info sent to)

Home/ Cell Phone #

Name of Current Employer or Educational Institution (for students)

Job Title or Program Title (if attending school)

Work Phone # or Educational Institution Phone #

CTRA Membership Number

I am a member of my provincial therapeutic recreation association:

Yes
No
Not Applicable

Name of provincial association or not applicable:

Provincial association membership # or not applicable:

Provincial membership category

I am a certified member of NCTRC - CTRS

Certification ID# or Not Applicable

Please indicate committees you would be interested in joining if needed:

National TR Week
Nominations and Awards
Translation
Strategic Planning
Membership
Promotion and Marketing
Education/Professional Development
Not interested

Renewal Fee *Check one

CTRA Full Member with Provincial Membership: $50.00
CTRA Full Member without Provincial Membership: $100.00
CTRA Student Member with Provincial Membership: $25.00
CTRA student Member without Provincial Membership: $50.00

Please include me in the members only membership directory

Yes - my personal information may be shared in the members only directory
No - my personal information may not be shared in the members only directory

I understand and agree that all the information I have provided is correct. I understand that if I have provided any false information or misrepresented myself in any way I risk the loss of my membership status without reimbursement

Payment

I wish to submit my payment using PayPal Now (See PayPal button below - you do not require a PayPal account if using credit card)
I wish to mail a cheque to CTRA (within 1 week of renewal form submission) If so, please print this form before clicking submit and mail it along with payment. Please allow 4-6 weeks to process if mailing cheque.
I have paid my CTRA fee to my provincial association (ATRA, BCTRA & TRAAC only)
Don't forget to click submit! If you are paying by PayPal click submit first and then go to the Buy Now button below. You will receive an email confirmation once your submission has been reviewed.

Please send cheques to:

Canadian Therapeutic Recreation Association
P.O. Box 448
Russsell, ON
K4R 1E3

Thank you for continuing to support CTRA!