ACT - Join ACT

Join ACT

Online Membership Application

This form sends an e-mail to Advocates for Children of Trauma and will attempt to open your default mail client.

Thank you for your interest in Advocates for children of Trauma (ACT).

If you would like to enroll using PayPal, please submit the form and use the PayPal Button at the bottom of the page.
If you wish to join but choose to do so via U.S. Mail simply fill out and print the application below.
Mail to the application along with your check to:

ACT
7924 Eastland Ave.
Fort Worth, TX 76135

Annual dues $15.00
First time Member Renewal Membership

Payment method:
Check PayPal

Your Name:

Address, City, State, Zip:

E-Mail Address:

Phone: [ (xxx) xxx-xxxx ]

Fax: [ (xxx) xxx-xxxx ]

How did you learn about ACT?:

Would you be interested in helping out with a local chapter or one of our other committees?
Yes No

How can ACT best help you?:

Click on the PayPal link below to make your dues payment. Be sure to make note of the dues amount for your chapter.