MAPS - McAbee Adlerian Psychology Society


MAPS dues are $25.00 per calendar year.

MAPS Membership helps provide the working funds to produce our annual
conference, and helps provide for the ongoing purpose of
the organization,to nurture local Adlerianism.

MAPS Membership Application        Date: ________________


Last Name:  ________________________________________________

First Name: ________________________________________________
     
Address: ___________________________________________________

Address: ___________________________________________________

City:    ______________________ State: _____ Zip: __________

Home Phone:  ___________________________

Work Phone:  ___________________________
 
Other Phone: ___________________________

E-mail:      ___________________________________

Occupation/Affiliation: _____________________________________________

_____________________________________________________________________

Comments: ___________________________________________________________

_____________________________________________________________________

Please make your check payable to "MAPS".  Please mail to:

MAPS Membership
c/o PEP
10100 Connecticut Avenue
Kensington, MD 20895

Thank-you for joining MAPS!

For more information, send e-mail to info@Adler-MAPS.com
or visit our web site: http://www.Adler-MAPS.com

===Office use========================================================

Amount Paid: ________   Membership term: _________________________

Date Paid: __________   Membership processing completed: _________

[Rev. 06/18/06]