AFFILIATE MEMBER APPLICATION FORM

Work in healthcare as a:

Details on Other Association/Province or Other Industry/Profession as shown above

Please state preferred mailing address

Home Business/Employment

Please state preferred language

English French

Have you ever been a member of the ANBMT

Yes No

Name of Group/Company/Business/Organization/Corporation: (if applicable)

Membership Fee

Company/Organization/Business/Group fee – $115.00
Individual fee – $75.00
Subject to change and determined by the Board of Directors.
All fees are inclusive of GST

Important Notes Regarding Payment

Payment options: Cheque, Money Order, Credit Card (contact the ANBMT to pay using a CC anbmt@anbmt.ca). You can e-transfer your member fees directly to us. Send e-tranfers to the ANBMT's email address anbmt@anbmt.ca. Make a note that the payment is for you (include your name and address).

Refund Policy

The ANBMT’s member fees are fully retained and non-refundable–with the exception of extraordinary circumstances and at the discretion of the Board of Directors.

Declaration and Agreement

I hereby apply for Affiliate Membership with the Association of New Brunswick Massage Therapists Inc. (ANBMT) and certify that to the best of my knowledge and belief, the information in this application is true and declare that:

1. I am Canadian citizen and at least 19 years of age (if applicant is an individual)?

Yes No

2. I have an interest in the activities, well-being, role and function of the Association.

Yes No

3. I intend to contribute to and be affiliated with the profession of massage therapy.

Yes No

4. I agree to demonstrate standards of behaviour, philosophy, ethics, principles and values that align with those of the Association.

Yes No

5. I agree to avoid any activity that may be injurious to the interests of the Association and its members.

Yes No

6. Have you ever been convicted or charged with, and not found guilty or acquitted of a criminal offence?

Yes No

7. Have you been the subject of any disciplinary proceedings with any other professional association?

Yes No

8. Has there ever been a finding of professional misconduct, incompetence or incapacitation or any like finding in relation to the profession or another health profession?

Yes No

9. Is there a current proceeding against you involving an allegation of professional misconduct, incompetence, or incapacitation or any like finding in relation to your practice of massage therapy or another health profession?

Yes No

10. After becoming a member in a College and/or an Association of Massage Therapy, has there ever been a time when you were not a member in good standing in this College and/or Association? (if applicant is an individual)

Yes No

11. I undertake to abide by the Association’s governing documents (Policies and Procedures, Bylaws, Company’s Act).

Yes No

If yes, which Association/College/Profession

12. I understand the Association may, in its absolute discretion, reject my application for membership without providing reasons.

Yes No

I hereby authorize the Association of New Brunswick Massage Therapists Inc. to make such inquiries about me as it considers appropriate in connection with this application. I understand that I am deemed not to have satisfied the standards and qualifications for a certificate of registration if, in connection with this application or past application, I have made false or misleading representation, either because of what was I stated or left un-stated. I understand that Affiliate Membership is not a license to practise massage therapy

Privacy Policy

The Association of New Brunswick Massage Therapists Inc. (ANBMT) is committed to the protection of your personal information. Full details of the ANBMT’s Privacy Policy can be found on our website.