| We invite you to renew your membership or to join our Society. |
| Name: _________________________________________________________________________ |
| Degree: ________________________________________________________________________ |
| Job Title:_______________________________________________________________________ |
| Employer:______________________________________________________________________ |
| Employment Address:_____________________________________________________________ |
| Preferred Mailing Address: _______________________________________________________ |
| Phone (Home): ______________________
(Work): _____________________ |
| E-mail Address:__________________________________________________________________ |
| Special Interest Area(s): __________________________________________________________ |
| Check one: New Member: _______
Renewal:________ Student:_______ |
| I am interested in becoming a mentor________ |
| Signature: _________________________________________________________ |
| Membership cost: $40.00 ($20.00 student) |
| Mail cheque to: (make
payable to Social Workers in Health Society of BC)
Social Workers in Health Society of BC
Kingsway R.P.O.
P.O. Box 79006
Vancouver, B.C. V5R 5Z6 |
| Membership year: April 1st – March 31st |
| For further information contact: Nicky Coutts
E-Mail: membership@socialworkersinhealthbc.org |
| Check out our new website at: www.socialworkersinhealthbc.org
|