Westchester Putnam Rockland Counseling Association - WPRCA.org



	Westchester Putnam Rockland Counseling Association

Home Services Executive Board School Staffing Membership Scholarships Counselor Resources Ethics/Standards Useful Links Contact Register Login

Login Panel

Contact us!

Need to contact us?

Click Here!

Membership Payments

Regular ($30)

Retired ($15)

Student/Intern ($15)

Online Form

WPRCA MEMBERSHIP FORM

Information regarding WPRCA membership can be obtained by e-mailing us or by printing the application and mailing the completed form with payment of membership dues to the address below. You may also mail the check and fill out our online membership form.

Click to print the WPRCA MEMBERSHIP FORM

Checks should be made payable to WPRCA and can be sent with completed form to:

Lori Merante
c/o Admissions
Berkeley College
99 Church Street
White Plains, NY 10601

First Name:
Last Name:
Regular Membership ($30):
Retired Membership ($15):		Please make checks payable to WPRCA
Student/Intern Membership ($15):
New Member
Renewal
Mailing Address		City, State, Zip Code
Is that a Work or Home address?
Phone Number:		(555)555-5555
Is that a Work or Home phone number?
E-Mail Address:
Title/Position:		(Graduate students list as “graduate students”)
School/Affiliation:		(Graduate students list name of graduate school)
May we list your phone number in our membership directory?
May we list your e-mail address in our membership directory?