Affiliate Application Form

Affiliate Application Form
Please review the information at Membership Explained and be sure you have all the necessary information ready to complete your application. Please Complete the Two Step Process for completing your application for membership with The Canadian Association for Marriage and Family Therapy. Please read Step 2 before submitting your application form.
Your Full Name *

Prefix First Name Middle Name Last Name
Email *
This is the email address all CAMFT correspondence will be sent to. If you are using a university email address you must remember when you leave the university to change your email address with CAMFT.
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Home or Cell Number *

Area Code Phone Number
Work Phone Number

Area Code Phone Number
Are you a mental health practitioner? *

Yes No
If you are a mental health provider why do you believe you belong in this membership category rather than Associate membership or RMFT membership?
What is your occupation? *
What is your Masters Degree? *
Please attach your Masters Degree *

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Practice Setting
Step Two

Make your $100.00 application payment.
The annual CAMFT membership fee for an Affiliate Member is $75.00. After your membership application is approved you will have fourteen (14) days to pay your annual membership fee.

After you complete the form above you will be redirected to our payment page.

The application fee is non refundable.
If you would prefer, you may mail a cheque payable to:

CAMFT
Post Office Box 1064
Tottenham, Ontario
Should be Empty:

Affiliate Application Form

Step Two