Shiatsu Therapy Association of British Columbia
Shiatsu Therapy Association of British Columbia Shiatsu Therapy Association of British Columbia



Membership Category
Applied For:		 R.S.T.
Supporting Member
  Student Member
  School Member
  Professional Organization
   
Last Name:
First Name:
Address:
City:
Province:
Postal Code:
Phone:
Fax:
Email:
   
Occupation:
Birthdate:
Diploma(s):
   

All members are encouraged to play an active role in their Association by volunteering in one of the numerous task committees:
 
Do you wish to volunteer? Yes No
   
If yes, do you own or have access to a computer? Yes No
   

All members are subject to the S.T.A. by-laws and code of ethics:
   

Signed:

Date:

Print this form, then complete it and fax or mail to:

S.T.A.
Gordon Park Postal Outlet
P.O. Box 37005
Vancouver, BC
V5P 4W7

Phone: 604-433-9495
Fax: 604-451-8477

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