Please use this form to submit your ANBMT Membership Renewal information.

(Please check the box to indicate agreement)
(Please check the box to indicate agreement)
No Change (highlight or indicate ANY changes below)
No Change (highlight or indicate ANY changes below)

* It is the responsiblity of all members to update your information.

Membership fees
Renewal 1 year (October–September) Member fee $195 + Professional Liability Insurance $108 + $5 insurance administration fee= $308

Insurance Registration
You can get additional information about these insurance policies 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 please fill out the following and include a copy of current insurance policy:

 

Information about the Insurance Company

Total Payment (Choose the appropriate amounts in the Table below)

Month of Initial Membership ANBMT Membership Fees ($) LACKNER MCLENNAN Liability and Malpractice Insurance Fees ($) ANBMT Membership Fees ($) with LACKNER MCLENNAN Liability and Malpractice Insurance Fees ($)

January

$146.25

$86.00

$232.25

February

$130.00

$77.00

$207.00

March

$113.75

$68.00

$181.75

April

$97.50

$59.00

$156.50

May

$81.25

$49.00

$131.25

June

$65.00

$41.00

$106.00

July

$48.75

$32.00

$80.75

August

$32.50

$30.00

$62.50

September

$16.25

$30.00

$46.25

October*

$195.00*

$1113.00*

$308.00*

November

$178.75

$104.00

$282.75

December

$162.50

$95.00

$257.50

IMPORTANT NOTES REGARDING PAYMENT

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.
  • The professional liability insurance (PLI) premium is fully retained by Lackner McLennan Insurance (LMI) and non-refundable.
  • 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.
  • 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.
  • There will be a $20.00 administration fee included for cheques that are returned to the ANBMT “NSF” (non-sufficient funds).
      • Please make ALL fees payable to ANBMT, including Lackner McLennan Ltd. Professional Liability insurance fees. This is a combined payment.
      • Payment within Canada may be done using a personal cheque. 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).
      • You can NOW e-transfer your member fees directly to us (membership & insurance–all onepayment)! Just use the ANBMT's email address anbmt@anbmt.ca for the transfer. Please indicate the security question to be your ANBMT# i.e. What is my ANBMT#? Answer: ??? (Make certain it's your ANBMT# {3 digits} and not your Blue Cross provider#, two very different numbers). Make a note that the payment is for you (include your name and address).
      • If you would like to 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 fees 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. Please also forward your membership renewal form indicating that you have paid using PayPal.

      Proud Member of the CMTA

       

      cmta

       
TypeAmount ($)Total Payment ($)
ANBMT Active Membership See Table
LM Liability See Table
LM Insurance for Acupuncture 200.00
LM Insurance for Ultrasound NO FEE