Boulder Institute for Psychotherapy and Research

Become a Member of BIPR

BIPR, A Boulder Colorado 501(c)3 Non-Profit Organization Established in 1999

Is pleased to invite you to become a Member for the 2010 Calendar Year

Membership benefits include:

• A 20% discount on registration fees for any BIPR Seminar or Front Porch Event
• Use of the new BIPR Library (lists of holdings will be supplied to members and up- dated twice a year)
• Opportunities to join small group consultations and discussion groups
• Advance notification of all BIPR Events, and invitations to attend small group meetings with visiting mental health professionals from outside of Colorado
• Membership cost: $50 per year

You may download our BIPR Membership Application or fill out the form below.

Membership Contact Information:

NAME:________________________________________________________________

ADDRESS:_____________________________________________________________

CITY:_________________________ STATE:_______________ ZIP:_______________

PROFESSIONAL DEGREE:_______________________________________________

PHONE: _______________________________________________________________

E-MAIL:_______________________________________________________________

AMOUNT PAID:________________ DATE:___________

CASH:_________CHECK #:_______________

I prefer to be notified of events by email: Yes______ No_____