LIFE MEMBER APPLICATION FORM

Life Membership

To become a Life Member, an individual shall:

  1. have been a member of the Association for at least twenty (20) years;
  2. be a Registered Massage Therapist;
  3. be a current member in good standing of the Association and College;
  4. be a Practising Member; and
  5. complete a Life Member application.
*Place you reside for the majority of the time

Home Address

Insurance Registration You can find additional information about these insurance policies and an application form by visiting the ANBMT website at www.anbmt.ca, "Forms"/"Insurance Registration/Renewal" section and by clicking on "Lackner McLennan"

If you currently have Liability Insurance with a provider other than Lackner McLennan Ltd. please fill out the following and include a copy the insurance policy. (please print)

Information about the Insurance Company

Refund Policy

  1. 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.
  2. The professional liability insurance (PLI) premium is fully retained by Lackner McLennan Insurance (LMI) and non-refundable.
  3. A $5.00 administration fee is added to the PLI premium for administering the ANBMT's PLI program. This fee is fully retained by the ANBMT.
  4. PayPal Fee-A transaction fee is included by PayPal when using this method (credit card payment). The ANBMT is unable to process direct credit card payments. If a refund is requested and granted, the refund will be based on the amount paid less the PayPal transaction fee.
  5. There will be a $20.00 administration fee included for cheques that are returned to the ANBMT "NSF" (non-sufficient funds).

Member Fees and Professional Liability Insurance (PLI) Premiums

  1. The ANBMT's membership year commences on October 1 and ends on September 30 of the following year.
  2. All fees are to be paid directly to the ANBMT.
  3. Member fees and PLI premiums prorate each month after October 1.
  4. Payment plans may be granted in extenuating circumstances. The Board of Directors will make a determination if an extension is to be granted.
  5. Payment plans are not permitted for professional liability insurance (PLI) coverage. This fee is collected on behalf of the RMT. It is withheld and then given to Lackner McLennan Insurance Ltd (LMI) on behalf of the RMT.
  6. The ANBMT is unable to process direct credit card payments.
  7. Accepted payment methods are:
    • Electronic transfer (E-transfer);
    • PayPal (credit card payments);
    • Cheque; or
    • Money Order

Important Notes Regarding Payment

  • Payment within Canada may be done using a personal cheque or money order. If your payment comes from outside of Canada (e.g. United States), please make the payment using a money order in $can (Canadian banks do not accept foreign personal cheques).
  • E-transfer your fees directly to us (membership & insurance-all one payment). Send to the ANBMT's email address anbmt@anbmt.ca for the transfer. Please indicate the security question to be your ANBMT#.
  • Pay your fees using PayPal (only credit card option), please go to the ANBMT website at www.anbmt.ca and go to Members and Online Payment where you will find a fee table outlining the different fee options. Please click on Buy Now in the column on the right-hand side of the fees table in the appropriate row and follow the instructions. Please also forward your membership renewal form indicating that you have paid using PayPal.

Declaration

To the absolute best of my knowledge, I have been a member of the Association of New Brunswick Massage Therapists Inc. (ANBMT) for at least twenty (20) years and to the absolute best of my knowledge the inception date of my initial membership with the ANBMT is as indicated below.