| Name: First____________________________ M.I._____ Last___________________________________________ Mail Address____________________________________ City________________________ State____Zip________ Country________Organization______________________ Phone : Work ( )___________________________ Home ( )___________________________ Fax ( )___________________________ E-Mail ________________________________________ Social Security #________________________________ ACA Member # ________________________________ |
| MEMBERSHIP FEES (Effective
July 2008) Check Join NECA Only (includes a $10 ACA processing fee-deduct if ACA member) or Join NECA & ACA: Join NECA Join NECA & ACA Only* ACA Professional [ ]$60 $50 +$155 = $ 205 [ ] Regular [ ]$60 $50 + $155 = $ 205 [ ] New Professional ** [ ]$34 $24 + $89 = $ 113 [ ] Student ** [ ]$34 $ 24 + $89 = $ 113 [ ] Retired [ ]$34 $ 24 + $89 = $ 113 [ ] * Includes $10 processing fee paid to ACA if NECA only--deduct if ACA member **New Professionals are prior year Student Members. ** New Professionals: Grad date:_____Inst_______ ** Students: Expected Grad date:_____Inst_______ Membership in ACA means that you will abide by ACA’s Bylaws and other governing documents and are qualified for the membership category selected. By becoming an ACA member, you are agreeing to be subject to the rules, regulations and enforcement of the terms of the ACA Code of Ethics. The ACA Code of Ethics is available at www.counseling.org. |
| FOUR EASY WAYS TO JOIN PHONE: 800.347.6647 x222 (have credit card ready) WEB: http//www.counseling.org FAX: 800-473-2329 (include credit card info) MAIL: P.O.Box 791006 Baltimore, MD 21279-1006 (Include check or credit card info) CREDIT CARD INFO: [ ] VISA [ ] M/C [ ]AMEX [ ]DISCOVER Cardholder’s Name (if different) ________________________________________ CC#_________________________Exp____/_____ |
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| By joining NECA and ACA or by renewing your membership in NECA and ACA you make a commitment to your professional development as well as to the future of the counseling profession. Customize your ACA membership by joining NECA. Joining NECA allows you to gain information and resources specific to your needs and interests. Join us. Share and gain insights, abilities, and knowledge as a member of both NECA and ACA . Your ACA membership includes a subscription to the ACA monthly newspaper, Counseling Today, as well as the Journal of Counseling & Development, published quarterly. Plus it gives you access to the special "members only" section of the ACA website. Division dues include subscription to division periodicals as well. Joining NECA includes a subscription to the Journal of Employment Counseling and the NECA Newsletter and access to the latest information in our field. Benefits to joining NECA are linked above at "Why Join NECA?" Print this form, join ACA and NECA figure your total Member Association Dues based on the chart, and enter the amount in the space provided, then mail or fax it to: American Counseling Association P.O. Box 791006 Baltimore, MD 21279-1006 Tel: 800.347.6647 x 222 (M-F, 8:00 a.m. to 7:00 p.m., ET) FAX: 800.473.2329 or 703.461.9260 (with credit card information) Your application will be processed and you can expect to receive your ACA membership card within two weeks. NECA information will follow as soon as ACA relays your membership information. |