The Tennessee Association of Pastoral Therapists


 Providing collegiality and continuing education for clinical pastoral therapists and advocacy for

the profession of pastoral therapy in the Tennessee. 

Conference Registration & TNAPT Membership


Membership Information 


Regular Membership (without conference): $50

Contributing Member (Includes Coference): $150

Retired Member (without conference): $25

Students currently enrolled in an counseling or pastoral care program in Tennessee can join TNAPT and attend the annual meeting without charge. 


Conference Fees for members and non-members are below. 


Step 1: Fill out the form below and click SUBMIT and then proceed to payment options. 

PLEASE NOTE:  ALL INFORMATION PROVIDED WILL BE PUBLISHED IN TNAPT DIRECTORY UNLESS YOU REQUEST OTHERWISE. 

 

Are you joining or renewing your membership today?
Are you registering for the annual meeting today?

Your name:                                  

 Preferred Address:                      
City:                                        
State:                                          Zip:
Preferred E-mail:                    
Your web site:                        
Preferred Phone:                         
 Current Place of Employment:                 Denominational/Religious Affiliation: 
  Professional Degrees:             Current License:  
 Psychotherapist Member of ACPE?     
 Special Instructions regarding contact information:  

Select  an appropriate slection from
conference & membership
 
Conference Attendance:          Membership Category:
Are you a member sponsoring a student ($20) or if you are a student making the optional $20 contribution?
 Total Amount to be Paid:
(Total of Membership Dues+Conference Fee+Optional Student/Sponsor)
 I plan to attend the Business Meeting portion of the conference, 4:40 -5:30pm, Friday. (No charge)  
  
After clicking "submit" below, proceed to payment section (Step 2). Students, please dismiss the payment section unless you would like to donate to help offset the catering cost. 

 

T H A N K   Y O U  !


 


Step 2:Payment Options


If you are paying by sending a check:

MAKE CHECKS PAYABLE TO:  TNAPT

Paid at the conference or mailed prior to:


TNAPT Treasurer

Rod Kochtitzky

2104 West Linden Ave
Nashville, TN 37212

615 - 385-3838

E-mail: Rod@rodk.net


To pay your membership & Conference fees by credit card or paypal, please indicate your selections below.  Please select options for "Membership", and  "Conference Registration" (Including optional student donations or sponsorship).

Select Membership Option

Select Your Conference Registration Options

Student or Student Sponsor Options