Iarta/Eata Membership: Application Form

Please complete this form and click "Save" in order to join or renew IARTA membership for 1st Sep 2017 to 31st Aug 2018.
Please be ready to complete payment when requested.

For information regarding EATA Membership via IARTA see our FAQ or for help
completing this form please contact membership@relationalta.com
First Name*
Last Name*
Email*
Address1*
Address2
City*
County/State*
Post Code/Zip*
Country*
Phone*
Mobile
Main Modality
eg TA, Integrative*
Main Application
eg Psychotherapy, Organisational*
Do you allow us to send you email
and post your name, modality
and country on our website?*
If you pay 2018 EATA membership fees
through another organisation, please name it here:
To which Code of Ethics do you subscribe:*
If you wish to hold your EATA membership via
IARTA please select your membership category:
Human Test: 9-3=*
* - Required field