Ending Relationship Abuse Society of BC

MEMBERSHIP APPLICATION

The purpose of the Ending Relationship Abuse Society of British Columbia is to:

• Educate the public and professionals about prevention and intervention responses to relationship abuse by offering educational conferences, maintaining a website, collecting and disseminating information on these topics, and other activities related to this purpose, with the ultimate goal of ending abuse in intimate relationships.

• Support the provision of high quality treatment services for individuals who use abuse in intimate relationships.

• _____am applying for full membership as a service provider or other supporter of work with individuals who use abuse in intimate relationships.
  
  

• _____am applying for associate membership, available to those outside the province of BC who meet the above criteria.
  
  

• _____agree to act in accordance with and support the vision and Guiding Principles.
  
  

• _____have paid the membership fee of $40/year, for the term of September 1 to August 31.

Mailing address:

___________________________________________________

___________________________________________________

___________________________________________________


Phone: ________________________Fax: ________________________

E-mail: ____________________________________________________

Organization: ______________________________________________

Position: ___________________________________________________

Signature: _________________________________________________

Date: _____________________________________________________