ROCKY MOUNTAIN ASSOCIATION

                            for PSYCHOLOGICAL TYPE

RMAPT Membership Form

LEARN . . . CONNECT. . . BE INVOLVED . . . GROW PROFESSIONALLY
Learn from professionals in the field of psychological type at scheduled events

Network with an exciting and fun group of Type enthusiasts and professionals
Receive discounts for programs and events

Be informed of RMAPT and Type events via website, email newsletter and listserve
-------------------------------------------------------------------------------------------------------------Membership Join/Renew Form

I want to join_____renew_____my membership in the RMAPT

Enclosed is my check for Regular-$40.00___  or Student-$25. ____**See below

Please type or print the following information:

Name_____________________________________________________

Type Preference_____________________________________________

Mailing Address______________________________________________

Credit Card#_________________________________Exp date_________

City________________________________State___________Zip_______

Company____________________________________________________

Student's School________________________________________________

Email Address________________________________________________

Home Phone_________________________________________________

Business Phone_______________________________________________

Fax_________________________________________________________

We want your program suggestions! Types of programs you would like the chapter to sponsor. _____________________________________________________________________

_____________________________________________________________________

Return this form and check payable to RMAPT to:

Larry Gabbard, 8261 Cooper River Dr., Colorado Springs, CO  80920

Fax form and credit card information to: 719-593-1858

**Our membership has been $30/year.  APTi has levied a $15 affiliate membership fee that allows Colorado RMAPT to remain an APTi Chapter.  The chapter is absorbing $5 of this fee as a member benefit.

Membership Questions? Contact larrygab@comcast.net